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Teresa Wilson, NP
Adult Health Nurse Practitioner in Shaw, Mississippi
NPI 1023507456

Teresa Wilson is an Adult Health Nurse Practitioner based in Shaw, MS and is specialized in Adult Health. Teresa Wilson practices in Shaw, MS and has the professional credentials of NP. The NPI Number for Teresa Wilson is 1023507456 and holds a License No. 902587 (Mississippi).

The current practice location address for Teresa Wilson is 112 W Peeler Ave, Shaw, MS and can be reached out via phone at 662-754-3301.

Location: 112 W Peeler Ave, Shaw, MS, 38773-8710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023507456
Provider Name
Teresa Wilson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
112 W Peeler Ave, Shaw, MS, 38773-8710
Phone Number
662-754-3301
Fax Number
Provider Enumeration Date
05/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 W Peeler Ave
City
Shaw
State
Mississippi
Zip
38773-8710
Phone Number
662-754-3301
Fax Number
person
Provider Business Mailing Address Details
Address
112 W Peeler Ave
City
Shaw
State
Mississippi
Zip
38773-8710
Phone Number
662-754-3301
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
902587 (Mississippi)
Definition
Definition to come...
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