Individual
JAMIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 WHITE BRIDGE PIKE, NASHVILLE, TN 37205-1411
(615) 352-7735
Mailing address
820 SPRINGER DR, LOMBARD, IL 60148-6413
(815) 744-8554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25316
TN
Other
Enumeration date
10/20/2014
Last updated
04/29/2021
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