Wilson, Kristin

Wilson, Kristin is an individual health care provider with primary practice located at 8132 Cordova Rd , Cordova TN 38016. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wilson, Kristin can be contacted via phone (901) 405-6470.

Contact Information

Primary practice address
8132 Cordova Rd Cordova TN 38016
Phone: (901) 405-6470
Fax: (901) 747-2338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A810389 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13402 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13402 Tennessee

Profile Details

NPI number 1376792192
LBN Legal business name Wilson, Kristin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2008
Last updated Sep 19th, 2019 - about 5 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 1376792192 NPPES
Tennessee MEDICAID 1513081

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