MRS. MARGERY A WILSON FNP NPI 1104854009

NPI Information

NPI: 1104854009
Provider Name: MRS. MARGERY A WILSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1 MEDICAL PARK BLVD
BRISTOL, TN
ZIP 37620
Phone: (423) 844-2364
Get Directions

MRS. Margery A Wilson, FNP is a family nurse practitioner in Bristol, TN. MRS. Margery A Wilson, FNP NPI is 1104854009. 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:

1 MEDICAL PARK BLVD
BRISTOL, TN
ZIP 37620-430
Phone: (423) 844-2364
Fax: (423) 844-2399

The enumeration date for this NPI number is 6/29/2006 and was last updated on 8/1/2012.

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	363LF0000X	Nurse Practitioner	Family	7256	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
1	10350I2900	MEDICARE PIN	TENNESSEE
2	3904789	MEDICARE PIN	TENNESSEE
3	3904789	MEDICAID	TENNESSEE
4	S93898	MEDICARE UPIN	TENNESSEE
5	3904780	MEDICARE PIN	TENNESSEE
6	500011621	MEDICARE PIN	TENNESSEE

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »