JENNIFER ANN WILSON (NPI# 1912163072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912163072 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN WILSON |
| Practice Address |
131 Montgomery Ln Maryville TN 37803-5649 |
| Practice Telephone | 8656810520 |
| Practice Fax Number | 8656818226 |
| Mailing Telephone | 8656810520 |
| Mailing Fax Number | 8656818226 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33108 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112013 | Jennifer Rockell Wilson | Case Manager/Care Coordinator | 450 S Venoy Rd, Westland, MI 48186-7805 | 2020-04-08 |
| 1023577665 | Jennifer Marie Wilson | Social Worker | 9660 Bend Dr, Jenison, MI 49428-9525 | 2019-03-13 |
| 1720545049 | Jennifer M Wilson | Registered Nurse | 17 Ridge Ave, Spring Valley, NY 10977-5407 | 2019-02-22 |
| 1528533726 | Jennifer S. Wilson | Specialist/Technologist | 216 Cody Ct, Clarksville, TN 37043-5897 | 2018-10-04 |
| 1750881488 | Jennifer Michele Wilson | Licensed Vocational Nurse | 20606 N Interstate 35, West, TX 76691-1812 | 2018-02-19 |
| 1942725700 | Jennifer Lynnette Wilson | Physician Assistant | 282 Equestrian Way, Raeford, NC 28376-7721 | 2017-08-13 |
| 1548782543 | Jennifer Wilson | Nurse Practitioner | 4665 W Atlantic Ave Ste B, Delray Beach, FL 33445-3800 | 2017-07-11 |
| 1770012775 | Jennifer Wilson | Registered Nurse | 3902 Henderson Blvd Ste 202, Tampa, FL 33629-5034 | 2017-06-05 |
| 1174069694 | Jennifer Wilson | Behavior Technician | 2014 Quail Run Dr Ne, Albuquerque, NM 87122-1100 | 2017-01-07 |
| 1033579396 | Jennifer Wilson | Nurse Practitioner | 10001 S Eastern Ave Ste 407, Henderson, NV 89052-3908 | 2016-03-01 |
| Street Address |
131 MONTGOMERY LN |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37803-5649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831134972 | Blount Discount Pharmacy Inc | Registered Nurse | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2006-06-20 |
| 1265809396 | Linda R. Colvin | Dietitian, Registered | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2015-08-24 |
| 1316337843 | Hamilton Borden | Pharmacist | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2015-02-05 |
| 1043612203 | Amanda Odum | Pharmacist | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2014-09-19 |
| 1740554716 | Gilbert B. Peck | Pharmacist | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2012-03-08 |
| 1942574934 | Richard M Callis | Pharmacist | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2012-03-08 |
| 1780838680 | John J Peterson | Pharmacist | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2008-11-05 |
| 1124141072 | Tracy L Bolling | Pharmacist | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2007-04-07 |
| 1992883433 | Shawn Lockert | Pharmacist | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2006-11-01 |
| 1275639296 | David Lewis Farmer | Pharmacist | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
| 1235350828 | Thomas Robert Schlitt | Physical Therapist | 833 Lawrence Avenue, Maryville, TN 37803 | 2007-05-01 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1386775641 | Mary W Tucker | Nurse Practitioner | 116 Chantilly Lane, Maryville, TN 37803 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| 1265529069 | Robert F Fekete | Pharmacist | 1524 Woodward Court, Maryville, TN 37803 | 2006-10-05 |
| 1336234848 | Edwin Terry Webb | Pharmacist | 131 Montgomery Lane, Maryville, TN 37803 | 2006-10-03 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1770788895 | Janaan Manney Branch | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-06-19 |
| 1396860185 | Caroline Rech | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-20 |
| Find all providers in zip 37803 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1851764922 | Brian T Henderson | Pharmacist | 507 N. Foothills Plaza, Maryville, TN 37801-2312 | 2015-11-11 |
| 1457738023 | Daniel Abercrombie | Pharmacist | 715 Enterprise Way, Maryville, TN 37801-8530 | 2015-05-02 |
| 1548606312 | Emily Abbott | Pharmacist | 104 Hudson St, Maryville, TN 37801-4608 | 2013-05-20 |
| 1912235672 | Amy Maria Hutchens | Pharmacist | 730 Watkins Rd, Maryville, TN 37801-4643 | 2009-11-18 |
| 1790919892 | Mark A. Major | Pharmacist | 945 Mccammon Ave, Maryville, TN 37801-3958 | 2009-05-05 |
| 1346437829 | Michael Edwin Davis | Pharmacist | 624 Hawthorne Dr, Maryville, TN 37803-6316 | 2007-09-28 |
| 1225236284 | Michael Blackburn | Pharmacist | 30 Foxmoor Dr, Maryville, IL 62062-6731 | 2007-07-10 |
| 1861519688 | Robert Aaron Lucas | Pharmacist | 1607 Loch Leigh Way, Maryville, TN 37801-5803 | 2007-03-25 |
| 1891810511 | Paul Edgar Heird | Pharmacist | 1610 W Broadway Ave, Maryville, TN 37801-5652 | 2007-03-20 |
| Find all providers in MARYVILLE | ||||
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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.