Individual
HEATHER DANIELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
19536 ALBERTA ST, ONEIDA, TN 37841-3382
(423) 569-3278
(423) 569-4414
Mailing address
19536 ALBERTA ST, ONEIDA, TN 37841-3382
(423) 569-3278
(423) 569-4414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3017269
KY
363LF0000X
Family Nurse Practitioner
3017269
KY
363LF0000X
Family Nurse Practitioner
Primary
30689
TN
Other
Enumeration date
07/07/2022
Last updated
04/06/2023
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