person
Pamela Wilson, FNP
Family Nurse Practitioner in Clarksdale, Mississippi
NPI 1447251632

Pamela Wilson is a Family Nurse Practitioner based in Clarksdale, MS and is specialized in Family. Pamela Wilson practices in Clarksdale, MS and has the professional credentials of FNP. The NPI Number for Pamela Wilson is 1447251632 and holds a License No. R757715 (Mississippi).

The current practice location address for Pamela Wilson is 860 Desoto Ext, Clarksdale, MS and can be reached out via phone at 662-624-4316 and via fax at 662-621-1151.

Location: 860 Desoto Ext, Clarksdale, MS, 38614-9734
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Provider Profile Details
NPI Number
1447251632
Provider Name
Pamela Wilson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
860 Desoto Ext, Clarksdale, MS, 38614-9734
Phone Number
662-624-4316
Fax Number
662-621-1151
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00125696 05 MS
institution
Provider Business Practice Location Address Details
Address
860 Desoto Ext
City
State
Zip
38614
Phone Number
662-624-4316
Fax Number
662-621-1151
person
Provider Business Mailing Address Details
Address
860 Desoto Ext
City
State
Zip
38614
Phone Number
662-624-4316
Fax Number
662-621-1151
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R757715 (Mississippi)
Definition
Definition to come...
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