CONSTANCE WILKERSON (NPI# 1295106326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295106326 |
| Entity Type | Individual |
| Full Name | CONSTANCE WILKERSON |
| Credential | FNP |
| Practice Address |
110 Park St Walnut Grove MS 39189-6526 |
| Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
| Practice Telephone | 6012530173 |
| Practice Fax Number | 6012530176 |
| Mailing Telephone | 9012273255 |
| Mailing Fax Number | 9012273591 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R885749 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Highway 16 E, Carthage, MS 390514222 | 6012671470 | 6012671469 |
| Street Address |
110 PARK ST |
| City | WALNUT GROVE |
| State | MS |
| Zip Code | 39189-6526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073925244 | Jonathan Malone Buchanan | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2014-05-22 |
| 1255650321 | Neshoba County General Hospital | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2010-05-27 |
| 1053576819 | Leake Memorial Medical Clinic Walnut Grove | General Acute Care Hospital | 110 Park St, Walnut Grove, MS 39189-6526 | 2008-07-22 |
| 1548310782 | Baptist Medical Center-leake, Inc | Clinic/Center | 110 Park St, Walnut Grove, MS 39189-6526 | 2007-01-11 |
| 1033196977 | William Douglas Perry | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376633818 | Rodney L Moore | Pharmacy | 103 Chadwick Ave, Walnut Grove, MS 39189 | 2006-10-13 |
| 1255387619 | East Central Mississippi Health Care, Inc | Clinic/Center | 199 Rimmer St, Walnut Grove, MS 39189 | 2006-05-26 |
| 1669450037 | Charlie M Hardin Jr. | Nurse Practitioner | 110 Park Street, Walnut Grove, MS 39189 | 2006-01-05 |
| 1518130582 | Central Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 109 Main St, Walnut Grove, MS 39189 | 2008-04-10 |
| 1063499002 | James W. Lock | Internal Medicine | 199 Rimmer Street, Walnut Grove, MS 39189-0370 | 2005-12-30 |
| 1467625830 | Vernetta P. Barton | Speech-Language Pathologist | 154 Truelight Rd, Walnut Grove, MS 39189-5028 | 2008-04-08 |
| 1376188086 | Marshall Devolopmental Therapy Services Inc | Behavioral Analyst | 308 Estes Mill Rd, Walnut Grove, MS 39189-5043 | 2019-11-18 |
| 1578009155 | First-line LLC | Ambulance | 2354 Union Rd, Walnut Grove, MS 39189-5189 | 2017-01-06 |
| 1326118522 | Homecare Hospice Inc | Registered Nurse | 16482 Highway 21, Walnut Grove, MS 39189-6180 | 2006-11-08 |
| 1144662230 | Lhcg Xlix, LLC | Hospice Care, Community Based | 16482 Highway 21, Walnut Grove, MS 39189-6180 | 2013-07-18 |
| Find all providers in zip 39189 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790229052 | Elizabeth L Fuller | Nurse Practitioner | 4350 Cleveland Ave, Walnut Grove, AL 35990 | 2016-12-06 |
| 1538394606 | Kim D Douthit | Nurse Practitioner | 4350 Cleveland Ave, Walnut Grove, AL 35990 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT GROVE |
| Zip Code | 39189 |
Please comment or provide details below to improve the information on CONSTANCE WILKERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.