Wilson, Shyeasha Tanika

Wilson, Shyeasha Tanika is an sole proprietor health care provider with primary practice located at 1911 Gadsden St Ste 204 , Columbia SC 29201-6400. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wilson, Shyeasha Tanika can be contacted via phone (803) 254-9767.

Contact Information

Primary practice address
1911 Gadsden St Ste 204 Columbia SC 29201-6400
Phone: (803) 254-9767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 104416 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 23783 South Carolina

Profile Details

NPI number 1073167185
LBN Legal business name Wilson, Shyeasha Tanika
Credentials APRN-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2019
Last updated Jun 14th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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