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Tracy Denise Wilson, FNP
Student in an Organized Health Care Education/Training Program in Vicksburg, Mississippi
NPI 1689256075

Tracy Denise Wilson is a Student in an Organized Health Care Education/Training Program based in Memphis, MS. Tracy Denise Wilson practices in Vicksburg, MS and has the professional credentials of FNP. The NPI Number for Tracy Denise Wilson is 1689256075 and holds a License No. 904985 (Mississippi).

The current practice location address for Tracy Denise Wilson is 1911 Mission 66 Ste B, Vicksburg, MS and can be reached out via phone at 601-665-4162 and via fax at 855-830-3484.

Location: 1911 Mission 66 Ste B, Vicksburg, MS, 38152-4220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689256075
Provider Name
Tracy Denise Wilson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1911 Mission 66 Ste B, Vicksburg, MS, 38152-4220
Phone Number
601-665-4162
Fax Number
855-830-3484
Provider Enumeration Date
04/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1911 Mission 66 Ste B
City
Vicksburg
State
Mississippi
Zip
39180-3762
Phone Number
601-665-4162
Fax Number
855-830-3484
person
Provider Business Mailing Address Details
Address
1911 Mission 66 Ste B
City
Vicksburg
State
Mississippi
Zip
39180-3762
Phone Number
601-665-4162
Fax Number
855-830-3484
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
904985 (Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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