Individual
ROBERT JOSH WANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
30 CIRCLE J DR, STE 1, LAUREL, MS 39440-1980
(601) 425-0092
(601) 425-0473
Mailing address
30 CIRCLE J DR, STE 1, LAUREL, MS 39440-1980
(601) 425-0092
(601) 425-0473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R867280
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
R867280
MS
Other
Enumeration date
02/09/2010
Last updated
11/26/2021
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