Individual
LAKEISHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1806 SIMPSON HIGHWAY 49, MAGEE, MS 39111-5391
(601) 439-1420
(601) 439-1421
Mailing address
505 ROOSEVELT CIR, JACKSON, MS 39213-2421
(601) 927-5002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03220713
MS
Other
Enumeration date
03/29/2022
Last updated
02/22/2023
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