Individual provider · Type 1 NPI

Kenyatta Nicole Wilson, NP-C

Family Nurse Practitioner · Vicksburg, MS

NPI number 1457633034 Active

Practice location

2200 Highway 61 N
Vicksburg, MS 39183-8246

Other practice locations

  • 106 Clinton Pkwy, Clinton, MS 39056-4730 · (601) 924-9005

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR871546 (MS)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

Other family nurse practitioner providers in Vicksburg

See all in Vicksburg →

About NPI 1457633034

Kenyatta Nicole Wilson, NP-C's National Provider Identifier is 1457633034, issued on Sep 9, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vicksburg, MS. The record was last updated on May 29, 2023.