Individual
OLIVIA SUSAN WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7200 RHEA COUNTY HWY, DAYTON, TN 37321-6288
(423) 570-0077
Mailing address
4920 WILSON DR NW, CLEVELAND, TN 37312-1544
(423) 310-4026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
25767
TN
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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