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Susan E Wilson, CPNP
Critical Care Neonatal Nurse Practitioner in Maryville, Tennessee
NPI 1336174093

Susan E Wilson is a Critical Care Neonatal Nurse Practitioner based in Maryville, TN and is specialized in Neonatal, Critical Care. Susan E Wilson practices in Maryville, TN and has the professional credentials of CPNP. The NPI Number for Susan E Wilson is 1336174093 and holds a License No. APN12098 (Tennessee).

The current practice location address for Susan E Wilson is 616 Smithview Dr, Maryville, TN and can be reached out via phone at 865-379-2277 and via fax at 865-738-0087.

Location: 616 Smithview Dr, Maryville, TN, 37803-6100
person
Provider Profile Details
NPI Number
1336174093
Provider Name
Susan E Wilson
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
616 Smithview Dr, Maryville, TN, 37803-6100
Phone Number
865-379-2277
Fax Number
865-738-0087
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20060525 01 TN BOARD CERTIFICATION #
APN0000012098 01 TN ADVANCED PRACTICE ID #
RN0000096921 01 TN RN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
616 Smithview Dr
City
State
Zip
37803-6100
Phone Number
865-379-2277
Fax Number
865-738-0087
person
Provider Business Mailing Address Details
Address
616 Smithview Dr
City
State
Zip
37803-6100
Phone Number
865-379-2277
Fax Number
865-738-0087
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
APN12098 (Tennessee)
Definition
Definition to come...
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