MRS. CRYSTAL ROSE WILSON (NPI# 1760786479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760786479 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL ROSE WILSON |
| Credential | CFNP |
| Practice Address |
699 E. Poplar Ave Selmer TN 38375 |
| Mailing Address |
699 E. Poplar Selmer TN 38375 |
| Practice Telephone | 7316456777 |
| Mailing Telephone | 7316456777 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
15463 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740825785 | Crystal Angela Wilson | Social Worker | 8974 162nd St Ste 3, Jamaica, NY 11432-5012 | 2019-11-13 |
| 1598237885 | Crystal Marie Wilson | Social Worker | 22c E Newnan Rd, Newnan, GA 30263-2230 | 2018-12-26 |
| 1245787449 | Crystal Wilson | Specialist | 1031 Wilmington Rd, Turkey, NC 28393-8405 | 2016-09-06 |
| 1407294184 | Crystal Mojne Wilson | Psychiatry & Neurology | Univeristy of Florida 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-04 |
| 1184934549 | Crystal M Wilson | Licensed Practical Nurse | 270 Dolly Madison Ct, Macon, GA 31220-2605 | 2010-10-19 |
| 1922614551 | Crystal Wilson | Nurse Practitioner | 2120 S Green Rd, South Euclid, OH 44121-3349 | 2020-09-18 |
| 1285255943 | Crystal Dawn Wilson | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2020-05-04 |
| 1407414675 | Crystal Lavonne Wilson | Physical Therapy Assistant | 702 N Main St, Harrison, AR 72601-2900 | 2019-06-03 |
| 1730555186 | Crystal Wilson | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4720 | 2015-08-19 |
| 1730567520 | Crystal Wilson | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2015-05-12 |
| Street Address |
699 E. POPLAR AVE |
| City | SELMER |
| State | TN |
| Zip Code | 38375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699312 | Nicholas Matters Inc. | Community Based Residential Treatment Facility, Mental Illness | 191 Crabtree Road, Selmer, TN 38375 | 2011-12-02 |
| 1699098335 | Sonia Ann Berry | Physical Therapist | 270 E. Court Ave, Suite B, Selmer, TN 38375 | 2010-03-09 |
| 1447386875 | Gregory L Wilson | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-02-27 |
| 1184774333 | State of Tennessee | Public Health or Welfare | 725 East Poplar, Selmer, TN 38375 | 2007-01-11 |
| 1114085453 | Bobby Shawn Pitts | Chiropractor | 134 Warren Ave., Selmer, TN 38375 | 2006-12-05 |
| 1104995760 | James Hagy Smith | General Practice | 132 Houston Ave, Selmer, TN 38375 | 2006-11-07 |
| 1467567255 | Sherry M Moore | Registered Nurse | One Prime Care Drive, Selmer, TN 38375 | 2006-08-20 |
| 1568575249 | Ronnie Lee Fullwood | Dentist | 177 Court Ave, Selmer, TN 38375 | 2006-08-16 |
| 1902828627 | Hunter Wade Robertson | Physical Therapist | 1027 Mulberry Av, Selmer, TN 38375 | 2006-07-24 |
| 1770531782 | David Petty | Pharmacist | 103 South Y Square, Selmer, TN 38375 | 2006-05-04 |
| Find all providers in zip 38375 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750657839 | Laura Beth Jones | Nurse Practitioner | 1021 Mulberry Ave, Selmer, TN 38375-3274 | 2012-03-22 |
| 1114201068 | Tiffany B Gray | Nurse Practitioner | 270 E Court Ave Ste B, Selmer, TN 38375-2304 | 2011-10-10 |
| 1376835223 | Access Health Center Pllc | Nurse Practitioner | 150 S Y Sq, Selmer, TN 38375-1755 | 2011-05-11 |
| 1215050406 | Rhonda L Hunt | Nurse Practitioner | 832 Mulberry Ave, Selmer, TN 38375-2334 | 2007-04-10 |
| 1750439311 | Melissa B Page | Nurse Practitioner | 725 E Poplar Ave, Selmer, TN 38375-1800 | 2007-01-08 |
| 1114328655 | Kevin Majors | Nurse Practitioner | 714 Federal Dr, Selmer, TN 38375-1876 | 2014-09-15 |
| 1851714240 | Tonya Lambert | Nurse Practitioner | 1 Physicians Dr, Selmer, TN 38375-1887 | 2014-01-21 |
| 1174944979 | Ginger Maness | Nurse Practitioner | 1021 Mulberry Ave, Selmer, TN 38375-3274 | 2013-12-20 |
| 1730465196 | Natalie Evans Luttrell | Nurse Practitioner | 270 E Court Ave, Suite B, Selmer, TN 38375-2304 | 2011-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.