Tahira Wilson

MSN, RN, PMHNP-BC | Nurse Practitioner

1521 66th Ave, Philadelphia
  Pennsylvania, 19126-2766
215-237-6439
May or may not accept Medicare Nurse Practitioner in Philadelphia, Pennsylvania.
Tahira Wilson is a Philadelphia, Pennsylvania based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Tahira Wilson is SP036001 for Psych/Mental Health NP in Pennsylvania. Her current practice location is 1521 66th Ave, Philadelphia. Patients can reach her at 215-237-6439. Tahira Wilson is MSN, RN, PMHNP-BC with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1629677182.
Tahira Wilson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Tahira Wilson speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Tahira Wilson
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: MSN, RN, PMHNP-BC
Practice Address:1521 66th Ave, Philadelphia,
Pennsylvania, 19126-2766
Phone:215-237-6439
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1629677182
NPI Enumeration Date: 25 Oct, 2020
NPI Last Update On: 10 Jul, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tahira Wilson are as mentioned below.
License NumberSpecializationStateStatus
SP036001Psych/Mental Health NP PennsylvaniaPrimary
Adult Companion Secondary
Community/Behavioral Health Secondary
Home Health Secondary
Case Management Secondary
In Home Supportive Care Secondary
Hospice Care, Community Based Secondary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization Secondary
Homemaker Secondary
RN675987Registered Nurse PennsylvaniaSecondary
Chore Provider Secondary
Technician Secondary
Respite Care Secondary
Technician Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Tahira Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1038259300001MedicaidPennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Tahira Wilson
1925 Keith Rd Unit 9,
Abington, Pennsylvania
Zip: 19001-2628
Patients can reach Tahira Wilson at 1521 66th Ave, Philadelphia, Pennsylvania or can call to book an appointment on 215-237-6439.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.