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TERESA WILSON NP
NPI 1023507456
Nurse Practitioner - Adult Health in Shaw, MS

Active since May 01, 2018
112 W PEELER AVE, SHAW, MS 38773(662) 754-3301 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teresa Wilson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA WILSON NP (NPI 1023507456) is an individual adult health provider in Shaw, Mississippi, licensed in Mississippi (902587) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1023507456
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTERESA WILSONCredential: NP
Location Address112 W PEELER AVEShaw, MS 38773-8710
Mailing Address112 W Peeler AveShaw, MS 38773-8710 · (662) 754-3301 · Fax (662) 754-3304
Phone(662) 754-3301
Sole ProprietorNo
Enumeration DateMay 1, 2018
✔ NPI 1023507456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MS · 902587
112 W PEELER AVE, Shaw, MS 38773
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY ROBINSON FNP-C
Nurse Practitioner (Primary Care)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
MRS. WILLIE MARY BOLDEN
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 745-6638
MRS. REGINA JONELLE EVANS FNP
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
NORA CECELIA GOUGH-DAVIS FNP
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
SHAW FAMILY MEDICAL, LLC
Clinic/Center
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
KIM DAVIS NP
Family Medicine
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
CLIFTON DEWAYNE REED
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Wilson's NPI number?

The NPI number for Teresa Wilson is 1023507456. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Teresa Wilson located?

Teresa Wilson practices at 112 W Peeler Ave, Shaw, MS 38773. The listed phone number is (662) 754-3301.

What is Teresa Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Teresa Wilson was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.