Individual
MAKENZIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 PATTERSON ST STE 319, NASHVILLE, TN 37203-1566
(615) 986-1256
(615) 320-3186
Mailing address
PO BOX 210127, NASHVILLE, TN 37221-0127
(615) 986-1256
(615) 383-0853
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4906
TN
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
08/28/2023
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