Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nelson Wilson, IV

Organization Prosthetic/Orthotic Supplier · NPI 1912141516

Nelson Wilson, IV is a Prosthetic/Orthotic Supplier in Clinton, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009

Practice location Address checks out

801 E Northside Dr Ste D
Clinton, MS 39056-3663
Phone: (601) 924-2888
Fax: (601) 924-2885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence C36423 (MS)

Record details

NPI number1912141516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nelson Wilson — Owner · (601) 951-7012
Other names Extended Care Prosthetics Of Mississippi
NPI enumeratedApril 27, 2009
Last updated in NPPESMay 19, 2009
Mailing address801 E Northside Dr, Suite D, Clinton, MS 39056-3663

Other providers in Clinton