Individual
MS. FELISA DENISE WILSON -SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, CFNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5534
(601) 984-4548
Mailing address
2500 N STATE ST, DIVISION OF GASTROENTEROLOGY, JACKSON, MS 39216-4500
(601) 984-5534
(601) 984-4548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R784445
MS
363LP0200X
Pediatric Nurse Practitioner
R784445
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120383
—
MS
Enumeration date
06/29/2006
Last updated
06/23/2017
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