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

Theresa Wilson

Individual provider Ostomy Care Registered Nurse · NPI 1174499867

Theresa Wilson is an Ostomy Care Registered Nurse in Knoxville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2025
Specialties on file
2

Practice location Address checks out

11608 Boston Ivy Ln
Knoxville, TN 37932-1005
Phone: (720) 227-3491
Show map & directions

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

Specialties & licences

Wound Care Registered Nurse (primary) Taxonomy 163WW0000X · Licence 232971 (TN)
Ostomy Care Registered Nurse Taxonomy 163WX1500X · Licence 232971 (TN)

Record details

NPI number1174499867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2025
Last updated in NPPESOctober 11, 2025
Certification dateOctober 11, 2025