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

Individual provider Primary Care Nurse Practitioner · NPI 1477021988

Irene Wilson, FNP-C is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2018, 8 years ago. Practices with Desoto Family Medical Center, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

75 Physicians Ln
Southaven, MS 38671-6102
Phone: (662) 393-7722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 902979 (MS)

Record details

NPI number1477021988
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 2, 2018
Last updated in NPPESNovember 2, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Desoto Family Medical Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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