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

Mary Wildeman

Individual provider Family Nurse Practitioner · NPI 1790379618

Mary Wildeman is a Family Nurse Practitioner in Nashville, Tennessee. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021

Practice location Address checks out

501 Great Circle Rd Fl 3
Nashville, TN 37228-1317
Phone: (615) 436-9060
Fax: (615) 235-9725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28203347A (IN)

Record details

NPI number1790379618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2021
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

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