| Amanda Wilson, FNP | |
|
472 W Poplar Ave, 101, Collierville, TN 38017-2538 | |
| (901) 854-5771 | |
| Not Available |
| Full Name | Amanda Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 472 W Poplar Ave, Collierville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003256496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000017457 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | A810519 (Mississippi) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Choice Urgent Care Llc | 2466623558 | 5 |
| Entity Name | Wci School Health Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417261215 PECOS PAC ID: 3173702099 Enrollment ID: O20110125000550 |
| Entity Name | First Choice Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023328978 PECOS PAC ID: 2466623558 Enrollment ID: O20110921000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Wilson, FNP Po Box 381071, Germantown, TN 38183-1071 Ph: (901) 754-5633 | Amanda Wilson, FNP 472 W Poplar Ave, 101, Collierville, TN 38017-2538 Ph: (901) 854-5771 |
Richard Albert Keenan Jr., FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 W Poplar Ave Ste 206, Collierville, TN 38017 Phone: 901-861-8484 Fax: 901-861-8489 | |
Brandalon Marie Fly, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 New Byhalia Rd, Collierville, TN 38017 Phone: 901-492-4920 | |
Allison Tolar Darnell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 W Poplar Ave Ste 7, Collierville, TN 38017 Phone: 901-446-0226 | |
Candace Harris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1204 W Poplar Ave, Suite 102, Collierville, TN 38017 Phone: 901-610-3135 | |
Heather Jones Boals, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 458 Old Oak Ln, Collierville, TN 38017 Phone: 901-275-0630 | |
Mrs. Susan D Earl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 890 W Poplar Ave Ste 6, Collierville, TN 38017 Phone: 901-221-8621 Fax: 901-221-8631 |