NPI 1093743726

Donovan Dean Wilson

Practitioner Certified Registered Nurse Anesthetist Bristol, TN

Practice location

Address: 1 Medical Park Blvd, Bristol, TN 37620-7430
Phone: (423) 844-1121
Mailing address: 350 Blountville Hwy STE 207, Bristol, TN 37620-0213

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 112090 (TX)

Other Nurse Anesthetist, Certified Registered providers in Tennessee →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 37086 (TN)

Registry record

NPI: 1093743726
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2006
Record last updated: 20 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.