Individual
MR. JEFFREY LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
5516 BARONS PT, OOLTEWAH, TN 37363-8875
(423) 987-5333
Mailing address
5516 BARONS PT, OOLTEWAH, TN 37363-8875
(423) 987-5333
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
19891
TN
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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