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

Susan Wilson, PA-C

Individual provider Pediatric Nurse Practitioner · NPI 1396709804

Susan Wilson, PA-C is a Pediatric Nurse Practitioner in Mount Vernon, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone: (360) 428-2500
Fax: (360) 428-6485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence PA10000103 (WA)

Record details

NPI number1396709804
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESJuly 13, 2026

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