Wilson, Nicole Denise

Wilson, Nicole Denise is an individual health care provider with primary practice located at 255 Wayne Rd , Savannah TN 38372-1947. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Nicole Denise can be contacted via phone (731) 925-2300.

Contact Information

Primary practice address
255 Wayne Rd Savannah TN 38372-1947
Phone: (731) 925-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14149 Tennessee

Profile Details

NPI number 1952535171
LBN Legal business name Wilson, Nicole Denise
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated Jan 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952535171 NPPES
Other 4235392 BCBS
MEDICAID 1513972 BCBS

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