Organization
PRIORITY ONE MEDICAL CARE LLC
Active
Other names
Stephanie R. Wilder PA-C
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE KELLER PA-C (CERTIFIED PHYSICIAN ASSISTANT)
(731) 599-0261
Entity
Organization
Contact information
Practice address
313 E FLORIDA AVE, UNION CITY, TN 38261-3957
(731) 599-0261
(986) 786-5149
Mailing address
313 E FLORIDA AVE, UNION CITY, TN 38261-3957
(731) 599-0261
(986) 786-5149
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366098436
—
TN
Enumeration date
07/24/2018
Last updated
09/02/2025
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