Individual
HEATHER HENDERSON WILKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
706 HIGHWAY 82 W, SUITE B, GREENWOOD, MS 38930-5028
(662) 459-2181
(662) 459-2182
Mailing address
603 NICHOLSON AVE, GREENWOOD, MS 38930-2421
(662) 459-4336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874623
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05632706
—
MS
Enumeration date
06/01/2010
Last updated
03/15/2011
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