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Individual

SUSAN C WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
802 2ND ST N, SUITE B, SAFETY HARBOR, FL 34695
(352) 345-0530
Mailing address
802 2ND ST N STE B, SAFETY HARBOR, FL 34695-3566
(352) 345-0530

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11019679
FL

Other

Enumeration date
05/19/2022
Last updated
02/27/2026
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