Individual
BRANDI MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 558-4400
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17705
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4356680
BLUECROSS BLUESHIELD
TN
01
—
P01427331
RR MEDICARE
TN
05
—
Q000866
—
TN
Enumeration date
07/05/2013
Last updated
01/15/2026
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