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Individual

ELLEN BELL WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
229 WOODLAND HEIGHTS DR, COLUMBUS, MS 39705-2973
(662) 361-0483
Mailing address
600 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 327-7525

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902930
MS

Other

Enumeration date
01/13/2019
Last updated
05/08/2019
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