Individual provider · Type 1 NPI

Jonathan W. Wilson

Adult Health Nurse Practitioner · Brentwood, TN

NPI number 1174890255 Active

Practice location

10 Cadillac Dr, Suite 350
Brentwood, TN 37027

Mailing address

10 Cadillac Drive, Suite 350
Brentwood, TN 37027

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X16251 (TN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1174890255

Jonathan W. Wilson's National Provider Identifier is 1174890255, issued on Nov 17, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brentwood, TN. The record was last updated on Jun 6, 2014.