Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TANESHA WILSON PMHNP
NPI 1265357990
Nurse Practitioner - Psychiatric/Mental Health in Palm Bay, FL

Q: What is Tanesha Wilson's NPI number?

The NPI number for Tanesha Wilson is 1265357990. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Q: What is Tanesha Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tanesha Wilson was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 11, 2026

4195 HIELD RD NW, PALM BAY, FL 32907(407) 403-1450 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tanesha Wilson Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANESHA WILSON PMHNP (NPI 1265357990) is an individual psychiatric/mental health provider in Palm Bay, Florida, licensed in Florida (11049810) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1265357990

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTANESHA WILSONCredential: PMHNP

Location Address4195 HIELD RD NWPalm Bay, FL 32907-6310

Mailing Address4195 Hield Rd NwPalm Bay, FL 32907-6310

Phone(407) 403-1450

Sole ProprietorYes

Enumeration DateAugust 11, 2026

NPPES CertifiedAugust 11, 2026

✔ NPI 1265357990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 11049810

4195 HIELD RD NW, Palm Bay, FL 32907

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW WILSON

Counselor (Mental Health)

4195 HIELD RD NW
PALM BAY, FL 32907

Brevard County (407) 361-5788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanesha Wilson's NPI number?

The NPI number for Tanesha Wilson is 1265357990. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Where is Tanesha Wilson located?

Tanesha Wilson practices at 4195 Hield Rd NW, Palm Bay, FL 32907. The listed phone number is (407) 403-1450.

What is Tanesha Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tanesha Wilson was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.