SUSAN E WILSON CPNP NPI 1336174093

NPI Information

NPI: 1336174093
Provider Name: SUSAN E WILSON, CPNP
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

Address:
616 SMITHVIEW DR
MARYVILLE, TN
ZIP 37803
Phone: (865) 379-2277
Get Directions

Susan E Wilson, CPNP is a neonatal and critical care nurse practitioner in Maryville, TN. Susan E Wilson, CPNP NPI is 1336174093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

616 SMITHVIEW DR
MARYVILLE, TN
ZIP 37803-100
Phone: (865) 379-2277
Fax: (865) 738-0087

The enumeration date for this NPI number is 7/11/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	APN12098	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20060525	OTHER	TENNESSEE	BOARD CERTIFICATION #
2	APN0000012098	OTHER	TENNESSEE	ADVANCED PRACTICE ID #
3	RN0000096921	OTHER	TENNESSEE	RN STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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