Individual provider · Type 1 NPI

Deborah Traylor Wilmoth, NURSE PRACTITIONER

Nurse Practitioner · Pontotoc, MS

NPI number 1659856698 Active

Practice location

353 Highway 15 N
Pontotoc, MS 38863-1103

Fax (662) 490-1989

Mailing address

PO Box 497
Augusta, AR 72006-0497

Other practice locations

  • 1914 University Ave, Oxford, MS 38655-4114 · (662) 238-7860

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X902959 (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…

7 other providers at this address

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About NPI 1659856698

Deborah Traylor Wilmoth, NURSE PRACTITIONER's National Provider Identifier is 1659856698, issued on Sep 25, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pontotoc, MS. The record was last updated on Jan 21, 2026.