Individual provider · Type 1 NPI

Makenzie Wilson

Surgical Physician Assistant · Nashville, TN

NPI number 1043970841 Active

Practice location

2400 Patterson St Ste 319
Nashville, TN 37203-1566

Fax (615) 320-3186

Mailing address

PO Box 210127
Nashville, TN 37221-0127

Other practice locations

  • 3443 Dickerson Pike Ste 720, Nashville, TN 37207-2527 · (615) 986-1256

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X4906 (TN)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1043970841

Makenzie Wilson's National Provider Identifier is 1043970841, issued on Dec 21, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Nashville, TN. The record was last updated on Aug 28, 2023.