MEDICARE: SYDNEY N WILSON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	34332	TN

General Provider Information

NPI Number	:	1336927706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY N WILSON NP

Provider Business Mailing Address
First Line	:	1021 W OAKLAND AVE STE 310
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2192
Country	:	US
Telephone Number	:	423-302-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	2428 KNOB CREEK RD STE 201
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2396
Country	:	US
Telephone Number	:	423-282-5054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	10/03/2023

Similar Medicare Providers

1891162533 — CHRISTOPHER S RUDD NP
Practice Location Address:

2428 KNOB CREEK RD STE 102
JOHNSON CITY, TN
37604-2396

Practice Phone: 423-794-1074
Practice Fax: 423-794-1079

1760471056 — DR. STEVEN PAUL HOPKINS M.D.
Practice Location Address:

2428 KNOB CREEK RD STE 201
JOHNSON CITY, TN
37604-2396

Practice Phone: 423-282-5054
Practice Fax: 423-283-0516

1841499191 — DR. HEESUK RICHARD YOON M.D.
Practice Location Address:

2428 KNOB CREEK RD STE 201
JOHNSON CITY, TN
37604-2396

Practice Phone: 423-282-5054
Practice Fax: 423-283-0516

1356831101 — SHEENA L TULLOCK FNP
Practice Location Address:

2428 KNOB CREEK RD STE 102
JOHNSON CITY, TN
37604-2396

Practice Phone: 423-794-1074
Practice Fax: 423-794-1079

1841814803 — ANTHONY BRIAN JONES PA-C
Practice Location Address:

2428 KNOB CREEK RD STE 102
JOHNSON CITY, TN
37604-2396

Practice Phone: 865-584-0962
Practice Fax:

1801402631 — DANIEL PATRICK JOHNSON APRN
Practice Location Address:

2428 KNOB CREEK RD STE 102
JOHNSON CITY, TN
37604-2396

Practice Phone: 423-794-1074
Practice Fax: 423-794-1079

Directions to “ SYDNEY N WILSON NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.