person
Donna Wedgeworth
Family Nurse Practitioner in Forest, Mississippi
NPI 1952865214

Donna Wedgeworth is a Family Nurse Practitioner based in Forest, MS and is specialized in Family. Donna Wedgeworth practices in Forest, MS. The NPI Number for Donna Wedgeworth is 1952865214 and holds a License No. R867812 (Mississippi).

The current practice location address for Donna Wedgeworth is 1 Medical Ln Ste B, Forest, MS and can be reached out via phone at 601-469-4861 and via fax at 601-469-4828.

Location: 1 Medical Ln Ste B, Forest, MS, 39074-4039
person
Provider Profile Details
NPI Number
1952865214
Provider Name
Donna Wedgeworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Ln Ste B, Forest, MS, 39074-4039
Phone Number
601-469-4861
Fax Number
601-469-4828
Provider Enumeration Date
01/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R867812 01 MS LICENSE
institution
Provider Business Practice Location Address Details
Address
1 Medical Ln Ste B
City
State
Zip
39074-4039
Phone Number
601-469-4861
Fax Number
601-469-4828
person
Provider Business Mailing Address Details
Address
1 Medical Ln Ste B
City
State
Zip
39074-4039
Phone Number
601-469-4861
Fax Number
601-469-4828
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R867812 (Mississippi)
Definition
Definition to come...
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