Crystal R Wilson (NPI# 1760786479, PAC ID# 1052595824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760786479 |
| PAC ID by PECOS | 1052595824 |
| Professional Enrollment ID | I20120314000506 |
| Full Name | Crystal R Wilson |
| Organization Legal Name | MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC |
| Address |
3207 Mullins Dr Corinth MS 38834-8571 |
| Phone Number | 6622848565 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729236625 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250009 | MAGNOLIA REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3207 Mullins Dr, Corinth, MS 38834-8571 | 6622848565 | MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC |
| Organization Legal Name | MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Britney Tucker | Nurse Practitioner | Midsouth Spine and Pain Associates Pllc | 3207 Mullins Dr, Corinth, MS 38834-8571 |
| Brent A Grimes | Nurse Practitioner | Midsouth Spine and Pain Associates Pllc | 1940 Pickwick St, Savannah, TN 38372-5309 |
| Sherry Wilson Jobe | Nurse Practitioner | Midsouth Spine and Pain Associates Pllc | 3207 Mullins Dr, Corinth, MS 38834-8571 |
| Street Address |
3207 MULLINS DR |
| City | CORINTH |
| State | MS |
| Zip | 38834-8571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Britney Tucker | Nurse Practitioner | Midsouth Spine and Pain Associates Pllc | 3207 Mullins Dr, Corinth, MS 38834-8571 |
| Sherry Wilson Jobe | Nurse Practitioner | Midsouth Spine and Pain Associates Pllc | 3207 Mullins Dr, Corinth, MS 38834-8571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Stewart | Physical Therapy | 1708 E Shiloh Rd, Corinth, MS 38834-3635 | |
| Jennifer H Garrett | Ophthalmology | Garrett Eye Clinic Pllc | 1804 E Shiloh Rd, Corinth, MS 38834-3637 |
| Meredith M Rhodes | Optometry | Garrett Eye Clinic Pllc | 1804 E Shiloh Rd, Corinth, MS 38834-3637 |
| William Nathanial Alexander | Chiropractic | 1500 N Harper Rd, Suite 2, Corinth, MS 38834-3700 | |
| Deborah B Moore | Nurse Practitioner | King Family Healthcare Inc | 2006 Robertson St, Corinth, MS 38834-3720 |
| Elizabeth B Wilbanks | Nurse Practitioner | Magnolia Internal Medicine | 2000 E Shiloh Rd, Corinth, MS 38834-3724 |
| Timothy L Noyes | Internal Medicine | Magnolia Internal Medicine | 2000 E Shiloh Rd, Corinth, MS 38834-3724 |
| Nixon D Dodd | Optometry | Dodd Eye Clinic P. C. | 618 N Fillmore St, Corinth, MS 38834-4825 |
| John D Dodd | Optometry | Dodd Eye Clinic P. C. | 618 N Fillmore St, Corinth, MS 38834-4825 |
| William P Dodd | Optometry | Dodd Eye Clinic P. C. | 618 N Fillmore St, Corinth, MS 38834-4825 |
| Find all physicians in zip 38834 | |||
| City | CORINTH |
| Zip Code | 38834 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CORINTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Crystal R Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.