Individual
MS. JENNIFER ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 460-4300
Mailing address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(615) 460-4300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000157422
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000013175
TN
Other
Enumeration date
03/20/2007
Last updated
07/15/2015
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