Wilson, Tiffany Danielle

Wilson, Tiffany Danielle is an individual health care provider with primary practice located at 925 Bradley St , Concord NC 28025-0911. 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, Tiffany Danielle can be contacted via phone (704) 360-3637.

Contact Information

Primary practice address
925 Bradley St Concord NC 28025-0911
Phone: (704) 360-3637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 286968 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5016128 North Carolina

Profile Details

NPI number 1821769894
LBN Legal business name Wilson, Tiffany Danielle
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2021
Last updated Jun 24th, 2024 - about 3 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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