Grace Mary Wilson, PMHNP-BC is a
Nurse Practitioner - Psychiatric/mental Health based in Justin, Texas. Grace Mary Wilson is licensed to practice in Texas (license number 1178385) and her current practice location is
1168 Superbloom Ave, Justin, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 832-3731.
NPI number for Grace Mary Wilson is 1275356248 and her current mailing address is 1168 Superbloom Ave, Justin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275356248.
Provider's Profile
Full Name | Grace Mary Wilson |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
---|
Location | 1168 Superbloom Ave, Justin, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275356248
- Provider Enumeration Date: 11/06/2024
- Last Update Date: 11/10/2024
Medical Identifiers
Medical identifiers for Grace Mary Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275356248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1178385 (Texas) | 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. Grace Mary 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 |
Grace Mary Wilson, PMHNP-BC 1168 Superbloom Ave, Justin, TX 76247-2096 Ph: (817) 832-3731 | Grace Mary Wilson, PMHNP-BC 1168 Superbloom Ave, Justin, TX 76247-2096 Ph: (817) 832-3731 |
Reviews and Comments