Individual
DR. DANIELLE J WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP,APRN, FNP, PMHNP
Contact information
Practice address
18747 N REEMS RD STE 500, SURPRISE, AZ 85374-8645
(520) 333-4949
Mailing address
12160 LILY MAGNOLIA LN, RIVERVIEW, FL 33569-5530
(813) 861-5076
(833) 463-1914
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1090199
TX
363LF0000X
Family Nurse Practitioner
NP95019735
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ01466600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11012118
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP278448
AZ
Other
Enumeration date
03/14/2021
Last updated
04/23/2026
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