Individual provider · Type 1 NPI
Stephen Christopher Wilson, PNP
Pediatric Nurse Practitioner · Millington, TN
NPI number
1861768665
Active
Practice location
8222 Highway 51 North
Millington, TN 38053
Fax (901) 873-4269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 16598 (TN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | APN016598 (TN) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Millington
About NPI 1861768665
Stephen Christopher Wilson, PNP's National Provider Identifier is 1861768665, issued on Mar 26, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Millington, TN. The record was last updated on Sep 23, 2022.