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MARIANNE KERUT WILSON MD NPI 1255728010


NPI Information

NPI: 1255728010
Provider Name: MARIANNE KERUT WILSON, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
1200 N STATE ST STE 500
JACKSON, MS
ZIP 39202
Phone: (601) 352-2273
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Marianne Kerut Wilson, MD is an endocrinology and diabetes and metabolism internal medicine in Jackson, MS with 9 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Marianne Kerut Wilson, MD NPI is 1255728010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

1200 N STATE ST STE 500
JACKSON, MS
ZIP 39202-027
Phone: (601) 352-2273
Fax: (601) 714-3215

The NPI 1255728010 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 8/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD52250SOUTH CAROLINANo
2207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism52250SOUTH CAROLINANo
3207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism30043MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.