Individual
MS. JANA LOUISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, PMH-BC
Contact information
Practice address
1808 ROUTE 6, CARMEL, NY 10512-2356
(845) 225-2700
Mailing address
22 COMMERCE ST APT 3, BEACON, NY 12508-2786
(718) 938-3743
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
709806-01
NY
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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