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1790186393
JACQUELINE WILSON
CLARKSVILLE, TN
NPI
1790186393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 19044)
Enumeration Date
2014-09-15
Last Update Date
2018-05-29
Business Address
-- JACQUELINE WILSON APRN
1101 HIGHWAY 76 STE A
CLARKSVILLE, TN 37043-2420
Phone number: 931-245-1144
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Mailing Address
-- JACQUELINE WILSON APRN
311 LANDRUM PL
CLARKSVILLE, TN 37043-6319
Phone number: 931-245-1144
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