Wilder Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN6154 Issued in TN

Legal business name

WILDER CLINIC, LLC

Practice address

201 Lakeview Rd
Suite a
Somerville, TN 38068-9742

Phone

(901) 857-8925

NPI assigned

Apr 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Paula Wilder, FNP

Title

Shareholder

Phone

(901) 857-8925

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1750556148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LAKEVIEW RD",
            "address_2": "SUITE A",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380689742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAKEVIEW RD",
            "address_2": "SUITE A",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380689742",
            "telephone_number": "901-857-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "901-857-8925",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN6154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rena Wakefield-Strong, LPC-MHSP
• Paula Lenore Walker, FNP
• Alyssa Marie Ware, DDS
• Lisa McKinney Weeams, LPC, CRC, LPN, CCM
• West Clinic, PC
• Jerry Lee Wilkerson
• Teresa L Wilkerson, RN
• Shalonda Wilson

• Family Nurse Practitioner in Somerville, TN
• Providers in Somerville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.