Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851097307 Individual Practitioner Female Practitioner

Kelly Marie Wilson , LPN

Licensed Practical Nurse • Centerville, TN

Professional Overview & Biography Verified Profile Summary

Kelly Wilson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Centerville, TN. Practice services are available at 111 MURPHREE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Murphree Ave

Centerville, TN 370331418

Telephone 9317293516
Associated Practice Facility / Clinic
🏢 State Of Tennessee Facility NPI 1710907589

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Centerville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Centerville, TN (1262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-06
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TN 49930

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Melanie Marrs

Licensed Practical Nurse

NPI 1043789365
Lydia Fowler , RD

Dietitian, Registered

NPI 1053843102

Registered Dietitian

Tammy Stutts , RN

Registered Nurse

NPI 1356479281

Registered Nurse

Karen Kendrick

Nurse's Aide

NPI 1376061317
Paige Truett , RN

Registered Nurse

NPI 1417336298

Registered Nurse

Katherine Barber , RN

Registered Nurse

NPI 1457895807

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2023

Registered at 111 MURPHREE AVE, CENTERVILLE, TN 370331418 (Tel: 9317293516)

📍
Updated Business Mailing Address February 06, 2023

Registered at 111 MURPHREE AVE, CENTERVILLE, TN 370331418 (Tel: 9317293516)

👤
Provider Name / Credentials Updated February 06, 2023

Recorded as KELLY WILSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2023

Licensed Practical Nurse (License #49930 in TN)

🟢
Initial NPI Registration & Enumeration February 06, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851097307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2023
Last Update: February 06, 2023
Sole Proprietor: No

Mailing Address

111 Murphree Ave

Centerville, TN 370331418

Phone: 9317293516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.