Individual provider · Type 1 NPI

Misty Renae Wooten

Family Nurse Practitioner · Tupelo, MS

NPI number 1316860737 Active

Practice location

830 S Gloster St
Tupelo, MS 38801-4934

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X908647 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1316860737

Misty Renae Wooten's National Provider Identifier is 1316860737, issued on Aug 3, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tupelo, MS. The record was last updated on Aug 3, 2026.