Mr Stephen Christopher Wilson, PNP | |
8222 Highway 51 North, Millington, TN 38053 | |
(901) 873-4242 | |
(901) 873-4269 |
Full Name | Mr Stephen Christopher Wilson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Pediatrics |
Location | 8222 Highway 51 North, Millington, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861768665 | NPI | - | NPPES |
1530867 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 16598 (Tennessee) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | APN016598 (Tennessee) | Primary |
Entity Name | Southeastern Emergency Services P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031121000687 |
Mailing Address | Practice Location Address |
---|---|
Mr Stephen Christopher Wilson, PNP 8222 Highway 51 North, Millington, TN 38053 Ph: (901) 873-4242 | Mr Stephen Christopher Wilson, PNP 8222 Highway 51 North, Millington, TN 38053 Ph: (901) 873-4242 |
Marde M Walker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8225 Highway 51 North, Millington, TN 38053 Phone: 901-222-9948 | |
Sharon Moore, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8081 Us Highway 51 N, Millington, TN 38053 Phone: 901-873-4194 Fax: 901-347-1333 | |
Karen P Williams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4772 Navy Rd Ste A, Millington, TN 38053 Phone: 901-873-0930 Fax: 901-873-0931 | |
Mrs. Elaina Cubine Hogan, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Primary Care Pediatrics, 8222 Hwy 51 N, Millington, TN 38053 Phone: 901-873-4242 Fax: 901-873-4269 | |
Janelle Marie Scullark-morose, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4772 Navy Rd, Millington, TN 38053 Phone: 901-333-3333 | |
Leeza Turri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4772 Navy Rd Ste A, Millington, TN 38053 Phone: 901-873-0930 Fax: 901-873-0931 | |
Mrs. Leellon Louise Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5831 Port Haven Rd, Millington, TN 38053 Phone: 901-849-4108 |