Wilson, Kenyatta Nicole

Wilson, Kenyatta Nicole is an individual health care provider with primary practice located at 2200 Highway 61 N , Vicksburg MS 39183-8246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Kenyatta Nicole can be contacted via phone (601) 883-3340.

Contact Information

Primary practice address
2200 Highway 61 N Vicksburg MS 39183-8246
Phone: (601) 883-3340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R871546 Mississippi

Profile Details

NPI number 1457633034
LBN Legal business name Wilson, Kenyatta Nicole
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2011
Last updated May 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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