Individual
ANNE WILSON SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
171 DR. T T LEWIS CIRCLE, CHARLESTON, MS 38921
(662) 647-5816
Mailing address
171 DR. T T LEWIS CR, CHARLESTON, MS 38921
(662) 647-5816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906104
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200007184
—
MS
Enumeration date
08/16/2023
Last updated
05/22/2026
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