| Doctor Name: | MS. NANCY PRATT WILSON |
| NPI Number: | 1699731638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | RN0000134308 |
| Business Practice Address: | 314th Medical Operations Squadron 1090 Arnold Driv Little Rock Afb, AR - 720990001 |
| Business Phone Number: | 5019877234 |
| Business Fax Number: | 5019877216 |
| Mailing Address: | 2585 Horsham Dr, GERMANTOWN |
| State: | TN |
| Postal Code: | 381396665 |
| Phone Number: | 9017595908 |
| Fax Number: | 9017595908 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN0000134308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |