KENYATTA NICOLE WILSON

VICKSBURG, MS
NPI1457633034
Other NameKENYATTA N MOORE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R871546)
Enumeration Date2011-09-09
Last Update Date2023-05-29
Business Address
KENYATTA NICOLE WILSON NP-C
2200 HIGHWAY 61 N
VICKSBURG, MS 39183-8246
Phone number: 601-883-3340
Mailing Address
KENYATTA NICOLE WILSON NP-C
2200 HIGHWAY 61 N
VICKSBURG, MS 39183-8246
Phone number: 601-529-1445
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