Individual
CHARLIE JENNIFER WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 528-8899
Mailing address
225 N WILLOW AVE STE 3, COOKEVILLE, TN 38501-2335
(931) 528-8899
(931) 520-7655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25444
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q047709
—
TN
Enumeration date
01/29/2019
Last updated
11/09/2022
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