Individual
KERRIE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,CNM
Contact information
Practice address
301 S PERIMETER PARK DR STE 100, NASHVILLE, TN 37211-4128
(615) 478-6748
Mailing address
304 W KIRKFIELD DR, CARY, NC 27518-6821
(708) 768-1470
(800) 308-0813
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
309014
NC
176B00000X
Midwife
4704287176
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
35381
TN
367A00000X
Advanced Practice Midwife
35381
TN
Other
Enumeration date
06/15/2015
Last updated
03/22/2024
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