Wilson, Teresa

Wilson, Teresa is an individual health care provider with primary practice located at 112 W Peeler Ave , Shaw MS 38773-8710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wilson, Teresa can be contacted via phone (662) 754-3301.

Contact Information

Primary practice address
112 W Peeler Ave Shaw MS 38773-8710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 902587 Mississippi

Profile Details

NPI number 1023507456
LBN Legal business name Wilson, Teresa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2018
Last updated May 1st, 2018 - about 6 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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