Individual
JONATHAN WADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
296 HIGHWAY 72, BURNSVILLE, MS 38833-9319
(662) 427-2073
(662) 427-2074
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
880964
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
908127
MS
Other
Enumeration date
10/01/2025
Last updated
01/29/2026
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