Individual
MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4700 MUELLER BRASS RD, COVINGTON, TN 38019-3754
(901) 476-0235
Mailing address
4700 MUELLER BRASS RD, COVINGTON, TN 38019-3754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000186428
TN
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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