Melissa Jane Wilson, NP

NPI #1265941694 in Clinton, Tennessee

Provider Information

NPI Number: 1265941694
Entity Type: Individual
Name: Melissa Jane Wilson, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Sep 28, 2017
Last Updated: Aug 4, 2021

Practice Location

Address: 110 EXECUTIVE PARK DR
City: Clinton
State: Tennessee
ZIP Code: 37716-6876
Phone: (865) 494-9241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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