Wilson, Arlene G

Wilson, Arlene G is an individual health care provider with primary practice located at 708 W Forest Ave , Jackson TN 38301-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wilson, Arlene G can be contacted via phone (731) 668-1853.

Contact Information

Primary practice address
708 W Forest Ave Jackson TN 38301-3901
Phone: (731) 668-1853
Fax: (731) 664-7731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 37256 Tennessee

Profile Details

NPI number 1215907985
LBN Legal business name Wilson, Arlene G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 12th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215907985 NPPES
Tennessee MEDICAID 3606333
Tennessee MEDICAID 3606334

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