Individual
MS. JULIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2377 FAIRVIEW BLVD, FAIRVIEW, TN 37062-6003
(615) 799-0101
(615) 266-2945
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
(931) 722-9919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20257
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20257
STATE LICENSE
TN
Enumeration date
04/12/2016
Last updated
05/13/2025
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