Individual
HEATHER H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
117 W COMMERCIAL AVE, MONTEREY, TN 38574-1107
(931) 839-2244
(757) 695-3421
Mailing address
117 W COMMERCIAL AVE, MONTEREY, TN 38574-1107
(931) 839-6642
(757) 695-3421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18008
TN
363LF0000X
Family Nurse Practitioner
18008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007301
—
TN
Enumeration date
09/19/2013
Last updated
07/03/2025
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