Wilson, Cawonda Ranee

Wilson, Cawonda Ranee is an individual health care provider with primary practice located at 2501 Chatham Rd , Springfield IL 62704-4188. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wilson, Cawonda Ranee can be contacted via phone (253) 922-4027.

Contact Information

Primary practice address
2501 Chatham Rd Springfield IL 62704-4188
Phone: (253) 922-4027
Fax: (844) 222-0800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209027707 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2023032312 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2023032312 Illinois
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 041469714 Illinois

Profile Details

NPI number 1417648148
LBN Legal business name Wilson, Cawonda Ranee
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2023
Last updated May 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417648148 NPPES
Illinois Other 209027707 ADVANCED NURSE PRACTITIONER

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