Individual provider · Type 1 NPI

Dominique Sky Gretchen Wilson

Nurse's Aide · Knoxville, TN

NPI number 1821963240 Active

Practice location

2202 Martin Luther King Jr Ave
Knoxville, TN 37915-1570

Call (865) 522-6097 Map

Fax (865) 540-1615

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XNone listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1821963240

Dominique Sky Gretchen Wilson's National Provider Identifier is 1821963240, issued on Oct 7, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Knoxville, TN. The record was last updated on Oct 7, 2025.