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Mrs. Crystal Rose Wilson, CFNP
Family Nurse Practitioner in Corinth, Mississippi
NPI 1760786479

Crystal Rose Wilson is a Family Nurse Practitioner based in Corinth, MS and is specialized in Family. Crystal Rose Wilson practices in Corinth, MS and has the professional credentials of CFNP. The NPI Number for Crystal Rose Wilson is 1760786479 and holds a License No. 15463 (Mississippi).

The current practice location address for Crystal Rose Wilson is 3124 N Shiloh Road, Corinth, MS and can be reached out via phone at 662-486-2710 and via fax at 662-762-0690.

Location: 3124 N Shiloh Road, Corinth, MS, 38834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760786479
Provider Name
Crystal Rose Wilson
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
3124 N Shiloh Road, Corinth, MS, 38834
Phone Number
662-486-2710
Fax Number
662-762-0690
Provider Enumeration Date
01/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05529352 05 MS
institution
Provider Business Practice Location Address Details
Address
3124 N Shiloh Road
City
Corinth
State
Mississippi
Zip
38834
Phone Number
662-486-2710
Fax Number
662-762-0690
person
Provider Business Mailing Address Details
Address
3124 N Shiloh Road
City
Corinth
State
Mississippi
Zip
38834
Phone Number
662-486-2710
Fax Number
662-762-0690
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
15463 (Tennessee)
Definition
Definition to come...
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