Individual provider · Type 1 NPI

Holly Wilson, NP-C

Nurse Practitioner · Booneville, MS

NPI number 1407407273 Active

Practice location

100 Hospital St Ste 300
Booneville, MS 38829-3354

Mailing address

965 Ridge Lake Blvd
Memphis, TN 38120-9401

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X903586 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407407273

Holly Wilson, NP-C's National Provider Identifier is 1407407273, issued on Sep 24, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Booneville, MS. The record was last updated on Jan 25, 2024.