Healthcare Provider Details

I. General information

NPI: 1497626006
Provider Name (Legal Business Name): WILSON HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 W GOVERNMENT ST
BRANDON MS
39042-3153
US

IV. Provider business mailing address

PO BOX 1465
BRANDON MS
39043-1465
US

V. Phone/Fax

Practice location:
  • Phone: 601-260-0314
  • Fax:
Mailing address:
  • Phone: 601-825-2696
  • Fax: 601-825-2463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARGO WILSON GARRETT
Title or Position: OWNER
Credential: FNP
Phone: 601-502-3574