Omotezi Wilson, APN is a
Nurse Practitioner - Psychiatric/mental Health physician based in Voorhees, New Jersey. Omotezi Wilson is licensed to practice in New Jersey (license number 26NJ14848500) and her current practice location is 443 Laurel Oak Rd Ste 130, Voorhees, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(856) 857-6920.
NPI number for Omotezi Wilson is 1912686338 and her current mailing address is 443 Laurel Oak Rd Ste 130, Kirkwood, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912686338.
Physician's Profile
Full Name | Omotezi Wilson |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 443 Laurel Oak Rd Ste 130, Voorhees, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912686338
- Provider Enumeration Date: 07/13/2023
- Last Update Date: 08/18/2023
Medical Identifiers
Medical identifiers for Omotezi Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912686338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 26NJ14848500 (New Jersey) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ14848500 (New Jersey) | 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. Omotezi 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 |
Omotezi Wilson, APN 443 Laurel Oak Rd Ste 130, Kirkwood, NJ 08043-4419 Ph: (856) 857-6920 | Omotezi Wilson, APN 443 Laurel Oak Rd Ste 130, Voorhees, NJ 08043-4419 Ph: (856) 857-6920 |
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