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Individual

MRS. MAGGIE SUE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
137 GREYSTONE DR, OAK RIDGE, TN 37830-5608
(865) 603-1543
Mailing address
137 GREYSTONE DR, OAK RIDGE, TN 37830-5608
(865) 603-1543

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283776
TN
164W00000X
Licensed Practical Nurse
LPN0000073091
TN
374U00000X
Home Health Aide
TN

Other

Enumeration date
07/19/2021
Last updated
10/03/2025
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