Individual
TERRIE S WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
301 HOSPITAL BLVD, COLLINS, COLLINS, MS 39428
(601) 698-0328
(601) 765-2808
Mailing address
PO BOX 2499, COLLINS, MS 39428-2499
(601) 765-6711
(601) 698-0112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906643
MS
Other
Enumeration date
10/23/2024
Last updated
01/06/2025
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