Individual
JONATHAN W WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CADILLAC DR, SUITE 350, BRENTWOOD, TN 37027
(615) 986-9201
Mailing address
10 CADILLAC DRIVE, SUITE 350, BRENTWOOD, TN 37027
(615) 986-9201
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16251
TN
Other
Enumeration date
11/17/2011
Last updated
06/06/2014
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