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Tarra A Wilson, FNP
Family Nurse Practitioner in La Follette, Tennessee
NPI 1902164775

Tarra A Wilson is a Family Nurse Practitioner based in La Follette, TN and is specialized in Family. Tarra A Wilson practices in La Follette, TN and has the professional credentials of FNP. The NPI Number for Tarra A Wilson is 1902164775 and holds a License No. APN16554 (Tennessee).

The current practice location address for Tarra A Wilson is 905 E Central Ave, La Follette, TN and can be reached out via phone at 423-907-1600 and via fax at 423-907-1646.

Location: 905 E Central Ave, La Follette, TN, 37766-2768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902164775
Provider Name
Tarra A Wilson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
905 E Central Ave, La Follette, TN, 37766-2768
Phone Number
423-907-1600
Fax Number
423-907-1646
Provider Enumeration Date
04/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528809 05 TN
institution
Provider Business Practice Location Address Details
Address
905 E Central Ave
City
La Follette
State
Tennessee
Zip
37766-2768
Phone Number
423-907-1600
Fax Number
423-907-1646
person
Provider Business Mailing Address Details
Address
905 E Central Ave
City
La Follette
State
Tennessee
Zip
37766-2768
Phone Number
423-907-1600
Fax Number
423-907-1646
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN16554 (Tennessee)
Definition
Definition to come...
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