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MS. FELISA DENISE WILSON -SIMPSON CPNP CFNP NPI 1336177021


NPI Information

NPI: 1336177021
Provider Name: MS. FELISA DENISE WILSON -SIMPSON, CPNP, CFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-5534
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MS. Felisa Denise Wilson -simpson, CPNP, CFNP is a family nurse practitioner in Jackson, MS. MS. Felisa Denise Wilson -simpson, CPNP, CFNP NPI is 1336177021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5534
Fax: (601) 984-4548

The NPI 1336177021 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 6/29/2006 and was last updated on 6/23/2017.


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
1363LF0000XNurse PractitionerFamilyR784445MISSISSIPPIYes
2363LP0200XNurse PractitionerPediatricsR784445MISSISSIPPINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1251850MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
2251933MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
300120383MEDICAIDMISSISSIPPI
4C01051MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
5Q67185MEDICARE UPINMISSISSIPPI
6P01676215MEDICARE PINMISSISSIPPI
7500002098MEDICARE PINMISSISSIPPI
8302I504587MEDICARE PINMISSISSIPPI
9251936MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI

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.