DENISA BROOME WILSON

RICHLAND, MS
NPI1134871007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  905068)
Enumeration Date2022-01-21
Last Update Date2022-05-19
Business Address
DENISA BROOME WILSON FNP-C
907 US 49
RICHLAND, MS 39218
Phone number: 601-374-5263
Mailing Address
DENISA BROOME WILSON FNP-C
PO BOX 490
UTICA, MS 39175-0490
Phone number: