Individual provider · Type 1 NPI

Stephanie Wilson, NURSE PRACTITIONER

Family Nurse Practitioner · Chattanooga, TN

NPI number 1386060929 Active

Practice location

2358 Lifestyle Way Ste 100
Chattanooga, TN 37421-4907

Fax (423) 602-2762

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XA810574 (MS)
Family Nurse Practitioner 363LF0000XAPRN11027260 (FL)
Family Nurse Practitioner Primary 363LF0000X18432 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1386060929

Stephanie Wilson, NURSE PRACTITIONER's National Provider Identifier is 1386060929, issued on Mar 6, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chattanooga, TN. The record was last updated on Apr 11, 2025.