MAKENZIE WILSON NPI 1043970841

NPI Information

  • NPI: 1043970841
  • Provider Name: MAKENZIE WILSON
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2400 PATTERSON ST STE 319
    NASHVILLE, TN
    ZIP 37203
  • Phone: (615) 986-1256

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NPI Details

Makenzie Wilson is a surgical physician assistant in Nashville, TN with 5 years of experience. Makenzie Wilson NPI is 1043970841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MISSISSIPPI MEDICAL COLLEGE
Graduation Year:2021

The provider's business location address is:

2400 PATTERSON ST STE 319
NASHVILLE, TN
ZIP 37203-566
Phone: (615) 986-1256
Fax: (615) 320-3186

The NPI 1043970841 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 8/28/2023.

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
1363AM0700XPhysician AssistantMedical4906TENNESSEENo
2363AS0400XPhysician AssistantSurgicalYes

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: 11/21/2025

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