Individual
JACQUELINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1101 HIGHWAY 76 STE A, CLARKSVILLE, TN 37043-2420
(931) 245-1144
Mailing address
311 LANDRUM PL, CLARKSVILLE, TN 37043-6319
(931) 245-1144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19044
TN
Other
Enumeration date
09/15/2014
Last updated
05/29/2018
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