MR. JEFFREY LYNN WILSON (NPI# 1073909883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073909883 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY LYNN WILSON |
| Other Name | MR. JEFF LYNN WILSON |
| Credential | FNP-BC |
| Practice Address |
5516 Barons Pt Ooltewah TN 37363-8875 |
| Practice Telephone | 4239875333 |
| Mailing Telephone | 4239875333 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
19891 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720505274 | Jeffrey L Wilson | Counselor | 14201 S Mur Len Rd Ste 101, Olathe, KS 66062-1859 | 2017-08-25 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1962955435 | Jeffrey John Wilson | Specialist/Technologist | 24062 Taft Rd, Novi, MI 48375-3022 | 2016-08-01 |
| 1801185814 | Jeffrey Matthew Wilson | Registered Nurse | 7750 Via Francesco Unit 2, San Diego, CA 92129-5149 | 2011-03-30 |
| 1447425798 | Jeffrey Joseph Wilson | Dentist | 1542 Union St, Schenectady, NY 12309 | 2008-04-28 |
| 1184701658 | Jeffrey M Wilson | Dentist | 73 Greentree Dr # 407, Dover, DE 19904-7646 | 2006-11-01 |
| 1922108745 | Jeffrey Lynn Wilson | Family Medicine | 1810 Eldron Blvd., Se, Palm Bay, FL 32909 | 2006-09-22 |
| 1184727612 | Jeffrey F Wilson | Optometrist | 126 W Wheatland Ave, Remus, MI 49340 | 2006-09-07 |
| 1417065715 | Jeffrey Whiteside Wilson | Psychiatry & Neurology | 10229 W Greenfield Ave, West Allis, WI 53214 | 2006-08-27 |
| 1972522068 | Jeffrey S Wilson | Podiatrist | 381 Cline Ave, Mansfield, OH 44907 | 2006-07-19 |
| Street Address |
5516 BARONS PT |
| City | OOLTEWAH |
| State | TN |
| Zip Code | 37363-8875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203196 | University Health Center | Clinic/Center | 4687 University Drive, Ooltewah, TN 37363 | 2019-09-05 |
| 1508426560 | Alexandra Scott | Dentist | 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 | 2019-06-20 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
| 1750877833 | Amanda Kirkpatrick | Dietitian, Registered | 6103 Hunter Crest Drive, Ooltewah, TN 37363 | 2018-07-02 |
| 1447759493 | Abigale Daniels | Specialist/Technologist | 6154 Wardwell Drive, Ooltewah, TN 37363 | 2018-02-06 |
| 1538671748 | Ryan Volking | Physician Assistant | 7564 Passport Dr, Ooltewah, TN 37363 | 2017-10-27 |
| 1255882270 | Stella Tsui | Physical Therapy Assistant | 3818 Chanterwood Trl, Ooltewah, TN 37363 | 2016-10-14 |
| 1013392299 | Rhonda Wilson | Counselor | 5516 Barons Point, Ooltewah, TN 37363 | 2015-07-29 |
| Find all providers in zip 37363 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1356898001 | Tasha Ligon | Clinical Nurse Specialist | 4016 Peaks Landing Way, Apt 103, Knoxville, TN 37918-7934 | 2016-09-09 |
| 1790180552 | Carol Campbell | Clinical Nurse Specialist | 3723 Stevens Ln, Nashville, TN 37218-1205 | 2014-10-22 |
| 1669744876 | Deborah Henderson Selak | Clinical Nurse Specialist | 1750 Frayser Blvd, Suite A, Memphis, TN 38127-6439 | 2012-02-02 |
| 1386954683 | My Np Family Health and Wellness Clinic | Clinical Nurse Specialist | 1061 S Rembert St, Memphis, TN 38104-5651 | 2010-10-20 |
| 1790976447 | Express Med, LLC | Clinical Nurse Specialist | 1276 1st Ave, Lawrenceburg, TN 38464-2762 | 2007-08-07 |
| 1548807647 | Chelsey Huff | Clinical Nurse Specialist | 6294 Highway 41a, Pleasant View, TN 37146-8175 | 2019-12-08 |
| 1013440106 | Integrated Health Concepts, LLC | Clinical Nurse Specialist | 28 Midway St, Bristol, TN 37620-1706 | 2017-04-06 |
| 1295273043 | Malones Group LLC | Clinical Nurse Specialist | 607 W Due West Ave, Suite 105, Madison, TN 37115-4431 | 2017-02-01 |
| 1326592809 | Brooke Torbett | Clinical Nurse Specialist | 4233 Highway 411, Madisonville, TN 37354-1571 | 2016-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.