Jerilyn Wilson, is a
Registered Nurse based in Tupelo, Mississippi. Jerilyn Wilson is licensed to practice in Mississippi (license number 897448) and her current practice location is
2434 S Eason Blvd, Tupelo, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 640-4595.
NPI number for Jerilyn Wilson is 1689361347 and her current mailing address is 2434 S Eason Blvd, Tupelo, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689361347.
Healthcare Provider's Profile
Full Name | Jerilyn Wilson |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 2434 S Eason Blvd, Tupelo, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689361347
- Provider Enumeration Date: 04/21/2023
- Last Update Date: 04/21/2023
Medical Identifiers
Medical identifiers for Jerilyn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689361347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
163W00000X | Registered Nurse | 897448 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerilyn Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jerilyn Wilson, 2434 S Eason Blvd, Tupelo, MS 38804-6942 Ph: (662) 640-4595 | Jerilyn Wilson, 2434 S Eason Blvd, Tupelo, MS 38804-6942 Ph: (662) 640-4595 |
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