Individual
ARLENE G WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 668-1853
(731) 664-7731
Mailing address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 668-1853
(731) 664-7731
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
37256
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3606333
—
TN
05
—
3606334
—
TN
Enumeration date
01/25/2006
Last updated
11/12/2008
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