MRS. CRYSTAL ROSE WILSON CFNP
NPI 1760786479
Nurse Practitioner - Family in Corinth, MS

Q: What is Crystal Wilson's NPI number?

The NPI number for Crystal Wilson is 1760786479. It was assigned to this individual provider in the NPPES registry on January 10, 2011.

Q: What is Crystal 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 Crystal Wilson was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 10, 2011

3124 N SHILOH ROAD, CORINTH, MS 38834(662) 486-2710(662) 762-0690 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2020, Aug 4, 2020, Jun 9, 2020 (3 updates tracked since 2020).

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About Mrs. Crystal Rose Wilson Cfnp NPPES

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

MRS. CRYSTAL ROSE WILSON CFNP (NPI 1760786479) is an individual family provider in Corinth, Mississippi, licensed in Tennessee (15463) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1760786479

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CRYSTAL ROSE WILSONCredential: CFNP

Location Address3124 N SHILOH ROADCorinth, MS 38834

Mailing Address3124 N Shiloh RoadCorinth, MS 38834 · (662) 486-2710

Phone(662) 486-2710

Fax(662) 762-0690

Sole ProprietorNo

Enumeration DateJanuary 10, 2011

Last NPPES UpdateNovember 19, 20203 updates tracked since enumeration

NPPES CertifiedNovember 18, 2020

✔ NPI 1760786479 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 TN · 15463

3124 N SHILOH ROAD, Corinth, MS 38834

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Other Identifiers 1

Medicaid05529352MS

Other Providers at the Same Location NPPES

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

CRYSTALCARE

Nurse Practitioner (Family)

3124 N SHILOH ROAD
CORINTH, MS 38834

Alcorn County (901) 292-2964

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 Crystal Wilson's NPI number?

The NPI number for Crystal Wilson is 1760786479. It was assigned to this individual provider in the NPPES registry on January 10, 2011.

Where is Crystal Wilson located?

Crystal Wilson practices at 3124 N Shiloh Road, Corinth, MS 38834. The listed phone number is (662) 486-2710.

What is Crystal 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 Crystal Wilson was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.