SHANYA LUCILLE WILSON
NPI 1942059019
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Shanya Wilson's NPI number?

The NPI number for Shanya Wilson is 1942059019. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Shanya 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 Shanya Wilson was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2024

5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207(904) 572-9798 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Shanya Lucille Wilson NPPES

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

SHANYA LUCILLE WILSON (NPI 1942059019) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (1871101691) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1942059019

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHANYA LUCILLE WILSON

Location Address5776 SAINT AUGUSTINE RDJacksonville, FL 32207-8046

Mailing Address5776 Saint Augustine RdJacksonville, FL 32207-8046 · (904) 448-4717

Phone(904) 572-9798

Sole ProprietorNo

Enumeration DateMay 13, 2024

NPPES CertifiedMay 13, 2024

✔ NPI 1942059019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

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

Taxonomy Code363LP0808X

License✔ Licensed in FL · 1871101691

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 1992914659 (FL)

5776 SAINT AUGUSTINE RD, Jacksonville, FL 32207

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JANE MEISEL CHAFIN LCSW, ACSW

Social Worker (Clinical)