Individual provider · Type 1 NPI
Denisa Broome Wilson, FNP-C
Family Nurse Practitioner · Richland, MS
NPI number
1134871007
Active
Practice location
907 US 49
Richland, MS 39218
Mailing address
PO Box 490
Utica, MS 39175-0490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 905068 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1134871007
Denisa Broome Wilson, FNP-C's National Provider Identifier is 1134871007, issued on Jan 21, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Richland, MS. The record was last updated on May 19, 2022.