Individual
MS. NANCY PRATT WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
314TH MEDICAL OPERATIONS SQUADRON 1090 ARNOLD DRIV, LITTLE ROCK AFB, AR 72099-0001
(501) 987-7234
(501) 987-7216
Mailing address
2585 HORSHAM DR, GERMANTOWN, TN 38139-6665
(901) 759-5908
(901) 759-5908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN0000134308
TN
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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