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

Kristin L Wilson, PA-C

Individual provider Physician Assistant · NPI 1124240098

Kristin L Wilson, PA-C is a Physician Assistant in Smyrna, Tennessee. Qualified in 2003, 23 years ago. Licensed in Tennessee.

Years since qualifying
23
Licensed in
TN
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

115 Enon Springs Rd E
Smyrna, TN 37167
Phone: (615) 459-0005
Fax: (615) 459-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TN1109 (TN)

Record details

NPI number1124240098
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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