Jacqueline Wilson (NPI# 1245735943, PAC ID# 4486995388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245735943 |
| PAC ID by PECOS | 4486995388 |
| Professional Enrollment ID | I20190402002034 |
| Full Name | Jacqueline Wilson |
| Organization Legal Name | FAST PACE MEDICAL CLINIC PLLC |
| Address |
1297 Mineral Wells Ave Paris TN 38242-5050 |
| Phone Number | 7312276120 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5395881841 |
| Number of Group Practice Members | 248 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440132 | HENRY COUNTY MEDICAL CENTER |
| 441316 | CAMDEN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 284 Hwy 641 N, Camden, TN 38320-1350 | 6159881571 | FAST PACE MEDICAL CLINIC PLLC |
| 1297 Mineral Wells Ave, Paris, TN 38242-5050 | 7312276120 | FAST PACE MEDICAL CLINIC PLLC |
| Organization Legal Name | FAST PACE MEDICAL CLINIC PLLC |
| Physicians | 272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Solomon | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 189 Monroe Pl, Suite 104, Ashland City, TN 37015-4940 |
| Brande Nicole Pharris | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 502 Ellington Dr, Lafayette, TN 37083-1697 |
| Julie Ann Walker | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1118 N Gateway Ave, Rockwood, TN 37854-4012 |
| Lacy Rebaka Thomas | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 2634 N Central Ave, Humboldt, TN 38343-1534 |
| Jason A. Martin | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 2401 Decherd Blvd, Winchester, TN 37398-1164 |
| Micah Sellew | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 321 E Central Ave, Jamestown, TN 38556-4103 |
| Stephanie Jane Perry | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 601 Beech St, Centerville, TN 37033-1101 |
| Christopher Delk | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 573 Carthage Bypass, Carthage, TN 37030-1573 |
| Regina Elizabeth Carson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 19536 Alberta St, Oneida, TN 37841-3382 |
| Deborah Sherer | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1137 S Dupree Ave, Brownsville, TN 38012-3255 |
| Street Address |
1297 MINERAL WELLS AVE |
| City | PARIS |
| State | TN |
| Zip | 38242-5050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie D Cantrell | Physician Assistant | Fast Pace Medical Clinic Pllc | 1297 Mineral Wells Ave, Paris, TN 38242-5050 |
| Ashley Hagerty | Physician Assistant | Fast Pace Medical Clinic Pllc | 1297 Mineral Wells Ave, Paris, TN 38242-5050 |
| Crystal G Mcdaniel | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1297 Mineral Wells Ave, Paris, TN 38242-5050 |
| Lori E Gream | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1297 Mineral Wells Ave, Paris, TN 38242-5050 |
| Jacinta Y Miller | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1297 Mineral Wells Ave, Paris, TN 38242-5050 |
| Christy Dougherty | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1297 Mineral Wells Ave, Paris, TN 38242-5050 |
| Brittany Hart | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1297 Mineral Wells Ave, Paris, TN 38242-5050 |
| Hannah Hutson | Physician Assistant | Fast Pace Medical Clinic Pllc | 1297 Mineral Wells Ave, Paris, TN 38242-5050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terrie Haynes | Nurse Practitioner | 1009 E Wood St, Paris, TN 38242-0460 | |
| Donald D Gold Jr. | Psychiatry | 706 E Wood St, Paris, TN 38242-4220 | |
| Lisa H Hubbard | Physician Assistant | Lakeside Health Clinic, P.c | 706 E Wood St, Paris, TN 38242-4220 |
| Charles A Walker | Interventional Pain Management | 707 E Wood St, Paris, TN 38242-4221 | |
| Joshua A Coleman | Optometry | 715 Morton St, Paris, TN 38242-4296 | |
| Thomas E Townsend | Optometry | 715 Morton St, Paris, TN 38242-4296 | |
| Elizabeth Craig | Chiropractic | 1203 E Wood St, Paris, TN 38242-4317 | |
| Don Andrew Sims | Clinical Social Worker | 1117 E Wood St, Paris, TN 38242-4326 | |
| James W Mcgee | Internal Medicine | East Wood Clinic Pllc | 1323 E Wood St, Paris, TN 38242-4421 |
| Philip W Nanney | Family Medicine | East Wood Clinic Pllc | 1323 E Wood St, Paris, TN 38242-4421 |
| Find all physicians in zip 38242 | |||
| City | PARIS |
| Zip Code | 38242 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PARIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.