Individual provider · Type 1 NPI

Melissa Jane Wilson, NP

Nurse Practitioner · Clinton, TN

NPI number 1265941694 Active

Practice location

110 Executive Park Dr
Clinton, TN 37716-6876

Fax (865) 374-2121

Other practice locations

  • 1038 Jurgens Rd., Robbins, TN 37852 · (724) 970-4453
  • 10 N Highway 27, Whitley City, KY 42653-6024 · (606) 376-5363

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X3012980 (KY)
Nurse Practitioner Primary 363L00000X23186 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265941694

Melissa Jane Wilson, NP's National Provider Identifier is 1265941694, issued on Sep 28, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clinton, TN. The record was last updated on Aug 4, 2021.