Doctor Name: | MEGAN WILDS |
NPI Number: | 1912371444 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | LPN87088 |
Business Practice Address: | 215 Hedrick Dr Newport, TN - 378212902 |
Business Phone Number: | 4236235301 |
Business Fax Number: | 4236250808 |
Mailing Address: | 6350 W Andrew Johnson Hwy, Department 100 TALBOTT |
State: | TN |
Postal Code: | 378778605 |
Phone Number: | 8003553565 |
Fax Number: | 4237142355 |
NPI Enumeration Date: | 11/20/2015 |
NPI Last Update Date: | 11/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | LPN87088 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |