Denisa Broome Wilson, FNP-C
NPI #1134871007 in Richland, Mississippi
Provider Information
- NPI Number
- 1134871007
- Entity Type
- Individual
- Name
- Denisa Broome Wilson, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Jan 21, 2022
- Last Updated
- May 19, 2022
Practice Location
- Address
- 907 US 49
- City
- Richland
- State
- Mississippi
- ZIP Code
- 39218
- Phone
- (601) 374-5263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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