Individual
MRS. STEPHANIE LAUREN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1886 POPPS FERRY RD, BILOXI, MS 39532-2104
(228) 338-1515
Mailing address
1886 POPPS FERRY RD, BILOXI, MS 39532-2104
(904) 521-9268
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
885494
MS
261QU0200X
Urgent Care Clinic/Center
885494
MS
363LF0000X
Family Nurse Practitioner
Primary
R885494
MS
Other
Enumeration date
04/22/2014
Last updated
09/10/2025
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