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Individual

MS. KAYLA NICOLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5510 OLD HICKORY BLVD STE B, HERMITAGE, TN 37076-2586
(615) 779-1149
Mailing address
5510 OLD HICKORY BLVD STE B, HERMITAGE, TN 37076-2586
(615) 779-1149

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
00000095471
TN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/02/2026
Last updated
01/02/2026
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