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General NPI Number Information
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NPI Number | 1457633034
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Entity Type | Individual
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Provider Name | KENYATTA NICOLE WILSON NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 05/29/2023
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Provider Practice Location Address
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Address Line | 2200 HIGHWAY 61 N
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City | VICKSBURG
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State | MS
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Zip | 39183-8246
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Country | US
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Telephone | 601-883-3340
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 HIGHWAY 61 N
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City | VICKSBURG
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State | MS
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Zip | 39183-8246
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Country | US
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Telephone | 601-529-1445
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R871546
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License Number State | MS
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