Shanya Lucille Wilson, is a
Nurse Practitioner - Psychiatric/mental Health based in Jacksonville, Florida. Shanya Lucille Wilson is licensed to practice in Florida (license number 1871101691) and her current practice location is
5776 Saint Augustine Rd, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 572-9798.
NPI number for Shanya Lucille Wilson is 1942059019 and her current mailing address is 5776 Saint Augustine Rd, Jacksonville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942059019.
Healthcare Provider's Profile
| Full Name | Shanya Lucille Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 5776 Saint Augustine Rd, Jacksonville, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942059019
- Provider Enumeration Date: 05/13/2024
- Last Update Date: 05/13/2024
Medical Identifiers
Medical identifiers for Shanya Lucille Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942059019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 1992914659 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1871101691 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanya Lucille Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shanya Lucille Wilson,
5776 Saint Augustine Rd,
Jacksonville, FL 32207-8046
Ph: (904) 448-4717 | Shanya Lucille Wilson,
5776 Saint Augustine Rd,
Jacksonville, FL 32207-8046
Ph: (904) 572-9798 |
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