Individual
MRS. ASHLEY N WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
200 NETTLETON RD STE 1, HARROGATE, TN 37752-8260
(423) 419-5550
(833) 944-2041
Mailing address
200 NETTLETON RD STE 1, HARROGATE, TN 37752-8260
(423) 419-5550
(833) 944-2041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024172166
VA
363LF0000X
Family Nurse Practitioner
Primary
25867
TN
363LF0000X
Family Nurse Practitioner
3008078
KY
Other
Enumeration date
06/27/2013
Last updated
07/18/2023
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