PAMELA WILSON FNP
NPI 1447251632
Nurse Practitioner - Family in Clarksdale, MS

Q: What is Pamela Wilson's NPI number?

The NPI number for Pamela Wilson is 1447251632. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Pamela Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Wilson was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 10, 2005

860 DESOTO EXT, CLARKSDALE, MS 38614(662) 624-4316(662) 621-1151 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Pamela Wilson Fnp NPPES

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

PAMELA WILSON FNP (NPI 1447251632) is an individual family provider in Clarksdale, Mississippi, licensed in Mississippi (R757715) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1447251632

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePAMELA WILSONCredential: FNP

Location Address860 DESOTO EXTClarksdale, MS 38614

Mailing Address580 Friars Point RdClarksdale, MS 38614-9734 · (662) 624-4316 · Fax (662) 624-4354

Phone(662) 624-4316

Fax(662) 621-1151

Sole ProprietorNo

Enumeration DateAugust 10, 2005

Last NPPES UpdateMay 6, 2009

✔ NPI 1447251632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R757715

860 DESOTO EXT, Clarksdale, MS 38614

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Other Identifiers 3

Medicare ID-Type Unspecified50001031MS

Medicare UPINP55828MS

Medicaid00125696MS

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 Pamela Wilson's NPI number?

The NPI number for Pamela Wilson is 1447251632. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Pamela Wilson located?

Pamela Wilson practices at 860 Desoto Ext, Clarksdale, MS 38614. The listed phone number is (662) 624-4316.

What is Pamela Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Pamela Wilson was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.