Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Kelm Wilson, ANP

Individual provider Family Nurse Practitioner · NPI 1710397260

Amy Kelm Wilson, ANP is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2013, 13 years ago. Practices with UT Regional One Physicians Inc, a 327-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2014
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Practice location Address checks out

877 Jefferson Ave
Memphis, TN 38103-2807
Phone: (901) 545-8785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence TN18713 (TN)

Record details

NPI number1710397260
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedMay 6, 2014
Last updated in NPPESMay 7, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ut Regional One Physicians Inc — 327 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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