Individual provider · Type 1 NPI
Amanda Wilson, FNP
Family Nurse Practitioner · Collierville, TN
NPI number
1003256496
Active
Practice location
472 W Poplar Ave, 101
Collierville, TN 38017-2538
Mailing address
PO Box 381071
Germantown, TN 38183-1071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN0000017457 (TN) |
| Family Nurse Practitioner | 363LF0000X | A810519 (MS) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1003256496
Amanda Wilson, FNP's National Provider Identifier is 1003256496, issued on Jun 28, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Collierville, TN. The record was last updated on Aug 8, 2014.