Most Relevant Information
Provider Data
| NPI Number: | 1003674193 |
| Provider Name: | MADISON WISDOM FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 33943 |
Most Important Dates
| Enumeration Date: | 03/12/2024 |
| Last Updated: | 04/04/2024 |
Provider Practice Location
6339 CHARLOTTE PIKE # 1268
NASHVILLE
TN
372092926
Practice Location Phone/Fax
| Phone: | 6155982027 |
| Fax: |
Provider Mailing Location
6339 CHARLOTTE PIKE # 1268
NASHVILLE
TN
372092926
Provider Mailing Phone/Fax
| Phone: | 6292496815 |
| Fax: |