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

Raquel Wilson, PMHNP-BC

Individual provider Registered Nurse · NPI 1457104564

Raquel Wilson, PMHNP-BC is a Nurse Practitioner in West Memphis, Arkansas. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Arkansas and Texas.

Years since qualifying
2
Licensed in
AR, TX
In the registry since
2024
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

309 N 5th St
West Memphis, AR 72301-3213
Phone: (870) 260-7902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 228158 (AR)
Registered Nurse Taxonomy 163W00000X · Licence R08131 (AR)
Registered Nurse Taxonomy 163W00000X · Licence 927570 (TX)

Record details

NPI number1457104564
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedApril 9, 2024
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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