Individual
THERESA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
231 WILSON PIKE CIR STE 200, BRENTWOOD, TN 37027-5286
(615) 628-7176
(615) 454-9201
Mailing address
231 WILSON PIKE CIR STE 200, BRENTWOOD, TN 37027-5286
(615) 628-7176
(615) 454-9201
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
132505
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13106
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511497
—
TN
Enumeration date
02/14/2007
Last updated
09/26/2019
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