JACQUELINE WILSON APRN NPI 1790186393

NPI Information

  • NPI: 1790186393
  • Provider Name: JACQUELINE WILSON, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1101 HIGHWAY 76 STE A
    CLARKSVILLE, TN
    ZIP 37043
  • Phone: (931) 245-1144

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NPI Details

Jacqueline Wilson, APRN is a family nurse practitioner in Clarksville, TN with 5 years of experience. Jacqueline Wilson, APRN NPI is 1790186393. 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:

1101 HIGHWAY 76 STE A
CLARKSVILLE, TN
ZIP 37043-420
Phone: (931) 245-1144

The NPI 1790186393 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 9/15/2014 and was last updated on 5/29/2018.

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
1363LF0000XNurse PractitionerFamily19044TENNESSEEYes

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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