Kenyatta Nicole Wilson, NP-C is a family nurse practitioner in Vicksburg, MS with 13 years of experience. Kenyatta Nicole Wilson, NP-C NPI is 1457633034. 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:
2200 HIGHWAY 61 N
VICKSBURG, MS
ZIP 39183-246
Phone: (601) 883-3340
The NPI 1457633034 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 9/9/2011 and was last updated on 5/29/2023.