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Individual

MR. ROBERT EUGENE WILSON

Active
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Individual

MR. ROBERT EUGENE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
7898
TN
163W00000X
Registered Nurse
192586
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024186778
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
33192
TN

Other

Enumeration date
05/14/2024
Last updated
07/10/2026
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