Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Nicole Wilson, NP

Individual provider Registered Nurse · NPI 1306421128

Elizabeth Nicole Wilson, NP is a Nurse Practitioner in San Diego, California. Qualified in 2022, 4 years ago. Practices with Dr Pm Corp, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12395 El Camino Real Ste 209
San Diego, CA 92130-3084
Phone: (858) 224-1866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95026691 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95229135 (CA)

Record details

NPI number1306421128
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 12, 2021
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dr Pm Corp — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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