Wilson, Stephen Christopher

Wilson, Stephen Christopher is an individual health care provider with primary practice located at 8222 Highway 51 North , Millington TN 38053. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Wilson, Stephen Christopher can be contacted via phone (901) 873-4242.

Contact Information

Primary practice address
8222 Highway 51 North Millington TN 38053
Phone: (901) 873-4242
Fax: (901) 873-4269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16598 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN016598 Tennessee

Profile Details

NPI number 1861768665
LBN Legal business name Wilson, Stephen Christopher
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Sep 23rd, 2022 - about 4 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 1861768665 NPPES
Tennessee MEDICAID 1530867

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