Individual provider · Type 1 NPI

Amber Fortuna Wilson

Physician Assistant · Bristol, TN

NPI number 1922637271 Active

Practice location

1 Medical Park Blvd Ste 300E
Bristol, TN 37620-7497

Call (423) 434-6300 Map

Fax (423) 434-6312

Mailing address

PO Box 18698
Belfast, ME 04915-4081

Other practice locations

3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 · (423) 434-6300
105 Meadow View Rd Ste 4, Bristol, TN 37620-1726 · (423) 434-6003
314 Rogosin Dr, Elizabethton, TN 37643-2904 · (423) 434-6300

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	TC013 (KY)
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1922637271

Amber Fortuna Wilson's National Provider Identifier is 1922637271, issued on Apr 7, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bristol, TN. The record was last updated on Oct 29, 2026.