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Kenyatta Nicole Wilson, NP-C
Family Nurse Practitioner in Vicksburg, Mississippi
NPI 1457633034

Kenyatta Nicole Wilson is a Family Nurse Practitioner based in Vicksburg, MS and is specialized in Family. Kenyatta Nicole Wilson practices in Vicksburg, MS and has the professional credentials of NP-C. The NPI Number for Kenyatta Nicole Wilson is 1457633034 and holds a License No. R871546 (Mississippi).

The current practice location address for Kenyatta Nicole Wilson is 2200 Highway 61 N, Vicksburg, MS and can be reached out via phone at 601-883-3340.

Location: 2200 Highway 61 N, Vicksburg, MS, 39183-8246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457633034
Provider Name
Kenyatta Nicole Wilson
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2200 Highway 61 N, Vicksburg, MS, 39183-8246
Phone Number
601-883-3340
Fax Number
Provider Enumeration Date
09/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2200 Highway 61 N
City
Vicksburg
State
Mississippi
Zip
39183-8246
Phone Number
601-883-3340
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Highway 61 N
City
Vicksburg
State
Mississippi
Zip
39183-8246
Phone Number
601-883-3340
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R871546 (Mississippi)
Definition
Definition to come...
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