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Jacob Allen Wilson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Colorado Springs, Colorado
NPI 1962029165

Jacob Allen Wilson is a Psychiatric/Mental Health Nurse Practitioner based in Colorado Springs, CO and is specialized in Psychiatric/Mental Health. Jacob Allen Wilson practices in Colorado Springs, CO and has the professional credentials of PMHNP-BC. The NPI Number for Jacob Allen Wilson is 1962029165 and holds a License No. APN.0996156-NP (Colorado).

The current practice location address for Jacob Allen Wilson is 5030 Boardwalk Dr Ste 150, Colorado Springs, CO and can be reached out via phone at 719-726-1077 and via fax at 719-960-3101.

Location: 5030 Boardwalk Dr Ste 150, Colorado Springs, CO, 80919-3160
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Provider Profile Details
NPI Number
1962029165
Provider Name
Jacob Allen Wilson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
5030 Boardwalk Dr Ste 150, Colorado Springs, CO, 80919-3160
Phone Number
719-726-1077
Fax Number
719-960-3101
Provider Enumeration Date
07/03/2020
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9000191072 05 CO
institution
Provider Business Practice Location Address Details
Address
5030 Boardwalk Dr Ste 150
City
State
Zip
80919-3160
Phone Number
719-726-1077
Fax Number
719-960-3101
person
Provider Business Mailing Address Details
Address
5030 Boardwalk Dr Ste 150
City
State
Zip
80919-3160
Phone Number
719-726-1077
Fax Number
719-960-3101
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APN.0996156-NP (Colorado)
Definition
Definition to come...
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