Individual
KATHERINE ROSE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
117 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 534-0029
Mailing address
1039 ROAD 1275, BALDWYN, MS 38824-6881
(662) 397-3057
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R891627
MS
Other
Enumeration date
08/17/2015
Last updated
11/25/2025
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