Individual provider · Type 1 NPI

Tanyaneka Wilson, FNP-BC

Family Nurse Practitioner · Ridgeland, MS

NPI number 1104243831 Active

Practice location

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079

Fax (629) 240-6003

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087

Other practice locations

  • 2701 Davis St, Meridian, MS 39301-5708 · (601) 693-0118

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR862382 (MS)

Family Nurse Practitioner: Definition to come...

43 other providers at this address

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About NPI 1104243831

Tanyaneka Wilson, FNP-BC's National Provider Identifier is 1104243831, issued on Mar 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ridgeland, MS. The record was last updated on Oct 31, 2026.