Wilson -Simpson, Felisa Denise

Wilson -Simpson, Felisa Denise is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson -Simpson, Felisa Denise can be contacted via phone (601) 984-5534.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax: (601) 984-4548
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R784445 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R784445 Mississippi

Profile Details

NPI number 1336177021
LBN Legal business name Wilson -Simpson, Felisa Denise
Credentials CPNP, CFNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 23rd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336177021 NPPES
Mississippi MEDICAID 00120383

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