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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN E WILSON, CPNP

Active

SUSAN E WILSON, CPNP is a Neonatal Critical Care Nurse Practitioner healthcare provider located in MARYVILLE, Tennessee. NPI 1336174093 is currently active in the NPPES registry. Verify at CMS.

Neonatal Critical Care Nurse Practitioner · MARYVILLE, TN

Registration Details

NPI Number
1336174093
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2006 (20.12666264256 yrs)
Last Updated
Mar 7, 2023
License
APN12098 (TN)

Practice Information

Address
616 SMITHVIEW DR
MARYVILLE, TN, 378036100
Browse TN providers · Browse ZIP 37803
Phone
8653792277
Fax
8657380087
Primary Specialty
Neonatal Critical Care Nurse Practitioner
363LN0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.