Search › Mississippi › 363LF0000X
Tracy Wilson, FNP
NPI 1689256075 · on the registry since 2021
Practice
- Address
- 1911 Mission 66 Ste B
Vicksburg, MS 39180 - Phone
- (601) 665-4162
- Fax
- (855) 830-3484
- Organisation at this address
- Cds Home Care, Inc.
Vicksburg Pathology Laboratory
M & M Behavioral Health Center
Mdb Behavioral Health Services Llc
Central Mississippi Prevention Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 4055 N Park Loop, Memphis, TN
- 402 Arnold Ave, Greenville, MS
- 570 Solomon St, Greenville, MS
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 390200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi