Wilson, Theresa

Wilson, Theresa is an sole proprietor health care provider with primary practice located at 231 Wilson Pike Cir Ste 200 , Brentwood TN 37027-5286. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wilson, Theresa can be contacted via phone (615) 628-7176.

Contact Information

Primary practice address
231 Wilson Pike Cir Ste 200 Brentwood TN 37027-5286
Phone: (615) 628-7176
Fax: (615) 454-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 132505 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 13106 Tennessee

Profile Details

NPI number 1023151628
LBN Legal business name Wilson, Theresa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Sep 26th, 2019 - about 6 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 1023151628 NPPES
Tennessee MEDICAID 1511497

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