Star J Wilson, is a
Registered Nurse based in Moorhead, Mississippi. Star J Wilson is licensed to practice in Mississippi (license number 923940) and her current practice location is
1014 Johnny Russell Drive, Moorhead, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 378-7508.
NPI number for Star J Wilson is 1386478865 and her current mailing address is Po Box 36, Moorhead, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386478865.
Provider's Profile
Full Name | Star J Wilson |
---|
Gender | Female |
---|
Speciality | Registered Nurse |
---|
Location | 1014 Johnny Russell Drive, Moorhead, Mississippi |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386478865
- Provider Enumeration Date: 08/28/2024
- Last Update Date: 08/28/2024
Medical Identifiers
Medical identifiers for Star J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386478865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 923940 (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. Star J 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 |
Star J Wilson, Po Box 36, Moorhead, MS 38761-0036 Ph: () - | Star J Wilson, 1014 Johnny Russell Drive, Moorhead, MS 38761 Ph: (662) 378-7508 |
Reviews and Comments