Most Relevant Information
Provider Data
| NPI Number: | 1003318833 |
| Provider Name: | PATRICE JANICE WILSON FNP, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN201447 |
Most Important Dates
| Enumeration Date: | 03/07/2018 |
| Last Updated: | 04/09/2024 |
Provider Practice Location
1086 FRANKLIN ST FL 7
JOHNSTOWN
PA
159054305
Practice Location Phone/Fax
| Phone: | 6785939020 |
| Fax: |
Provider Mailing Location
1086 FRANKLIN ST FL 7
JOHNSTOWN
PA
159054305
Provider Mailing Phone/Fax
| Phone: | 8145341142 |
| Fax: |