IRENE WILSON

SOUTHAVEN, MS
NPI1477021988
Former NameIRENE DIAZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MS  902979)
Enumeration Date2018-11-02
Last Update Date2018-11-02
Business Address
IRENE WILSON FNP-C
75 PHYSICIANS LN
SOUTHAVEN, MS 38671-6102
Phone number: 662-393-7722
Mailing Address
IRENE WILSON FNP-C
481 CLARINGTON DR
SOUTHAVEN, MS 38671-5638
Phone number: 901-486-0439
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