Individual
MELISSA WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 647-5800
(865) 647-5979
Mailing address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 647-5800
(865) 647-5979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN19166
TN
363LF0000X
Family Nurse Practitioner
19166
TN
Other
Enumeration date
09/10/2014
Last updated
10/21/2019
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