| Charla F Wilson, FNP | |
|
9075 Sandidge Center Cove, Olive Branch, MS 38654 | |
| (662) 895-4949 | |
| (662) 895-6746 |
| Full Name | Charla F Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 32 Years |
| Location | 9075 Sandidge Center Cove, Olive Branch, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225027832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5158 (Tennessee) | Primary |
| 207Q00000X | Family Medicine | R844603 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olive Branch Family Medical Center | 2567351984 | 6 |
| Uhs Of Parkwood Inc | 6002002276 | 2 |
| Entity Name | Olive Branch Family Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629018478 PECOS PAC ID: 2567351984 Enrollment ID: O20040313000211 |
| Entity Name | Uhs Of Parkwood Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093785859 PECOS PAC ID: 6002002276 Enrollment ID: O20101130000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Charla F Wilson, FNP 6248 Carolot Ln, Bartlett, TN 38135-1196 Ph: (901) 372-8486 | Charla F Wilson, FNP 9075 Sandidge Center Cove, Olive Branch, MS 38654 Ph: (662) 895-4949 |
Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006 | |
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806 | |
Jennifer C Sanders, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd Ste 1, Olive Branch, MS 38654 Phone: 662-874-6507 Fax: 662-932-8197 | |
Mrs. Misty Moore Ivy, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7203 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-2322 | |
Wanda Brown, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4240 Bethel Rd Ste 101, Olive Branch, MS 38654 Phone: 662-932-9544 Fax: 662-932-9554 | |
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 | |
Queen Mcghee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111 |