IndividualActive
Angela Wilson, PMHNP-BC
NPI 1386529865 · Psychiatric/Mental Health Registered Nurse · Peoria, IL
Provider details
- NPI number
- 1386529865
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209032904 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
1701 W Garden St
Peoria, IL 61605-3531
Phone: (309) 680-7600
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Summer St
Pekin, IL 61554-5643
Additional practice locations (1)
- 2321 N Wisconsin AvePeoria, IL 61603-5613Phone: (309) 680-7600
Registry dates
- Enumerated
- 2025-08-06
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.