Individual
AMY KELM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-8785
Mailing address
5205 WELCHSHIRE AVE, MEMPHIS, TN 38117-5905
(901) 355-2879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TN18713
TN
Other
Enumeration date
05/06/2014
Last updated
05/07/2014
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