IndividualActive
Jeffrey Wilson, FNP-BC
NPI 1073909883 · Family Health Clinical Nurse Specialist · Ooltewah, TN
Provider details
- NPI number
- 1073909883
- Entity type
- Individual
- Primary specialty
- Family Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19891 (TN)
Mailing address
5516 Barons PT
Ooltewah, TN 37363-8875
Registry dates
- Enumerated
- 2015-04-08
- Last updated
- 2015-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.