Individual
CAROLINE LOUISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
30 LACY LN, CLARKSVILLE, TN 37043-5123
(931) 436-7622
Mailing address
30 LACY LN, CLARKSVILLE, TN 37043-5123
(931) 436-7622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33479
TN
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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