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WILDER CLINIC, LLC
NPI 1750556148
Nurse Practitioner - Family in Somerville, TN

Active since April 25, 2008
201 LAKEVIEW RD, SUITE A, SOMERVILLE, TN 38068(901) 857-8925 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilder Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDER CLINIC, LLC (NPI 1750556148) is a healthcare organization registered as a family in Somerville, Tennessee and active in the NPI registry since April 2008. The organization lists Paula Wilder, Shareholder, as its authorized official.

NPPES Registry Identity

NPI1750556148
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWILDER CLINIC, LLC
Location Address201 LAKEVIEW RD, SUITE ASomerville, TN 38068-9742
Mailing Address201 Lakeview Rd, Suite ASomerville, TN 38068-9742
Phone(901) 857-8925
Organization SubpartNo
Authorized OfficialPaula WilderShareholder · (901) 857-8925
Enumeration DateApril 25, 2008
✔ NPI 1750556148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN6154
201 LAKEVIEW RD, Somerville, TN 38068
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST CLINIC, PC
Specialist
201 LAKEVIEW RD, SUITE A
SOMERVILLE, TN 38068
Fayette County (901) 683-7936
DR. KARRIE BROOKE KING
Pharmacist
201 LAKEVIEW RD, SUITE C
SOMERVILLE, TN 38068
Fayette County (901) 465-9243
DOC SUPPLY OF WEST TENNESSEE, LLC
Durable Medical Equipment & Medical Supplies
201 LAKEVIEW RD, SUITE D
SOMERVILLE, TN 38068
Fayette County (901) 620-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilder Clinic, LLC's NPI number?

The NPI number for Wilder Clinic, LLC is 1750556148. It was assigned to this organization in the NPPES registry on April 25, 2008.

Where is Wilder Clinic, LLC located?

Wilder Clinic, LLC is located at 201 Lakeview Rd Suite A, Somerville, TN 38068. The listed phone number is (901) 857-8925.

What is Wilder Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wilder Clinic, LLC was last updated on April 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.