Individual
BRANDY CARR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1167 E BROAD ST, MONTICELLO, MS 39654-7682
(601) 587-1433
(601) 587-1625
Mailing address
PO BOX 1884, MONTICELLO, MS 39654-1884
(601) 695-2524
(601) 587-1625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903719
MS
Other
Enumeration date
12/18/2019
Last updated
03/29/2023
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