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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023151628 | NPPES |
Tennessee | MEDICAID | 1511497 |
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