Individual
BRANDY DENISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 934-6100
(865) 342-0100
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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