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Individual
DANNYLU J WILSON
Active
Individual
DANNYLU J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5510
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507471
—
TN
05
—
3346726
—
TN
05
—
3710089
—
TN
05
—
3732438
—
TN
01
—
4135398
BCBST
TN
01
—
4193459
BCBS
—
Enumeration date
11/09/2006
Last updated
02/28/2019
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