NPI 1134113087

Lisa Gibson Wilson, CRNA

Practitioner Certified Registered Nurse Anesthetist Natchez, MS

Practice location

Address: 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726
Phone: (601) 443-2100
Mailing address: PO Box 11407, Birmingham, AL 35246-1428

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R818593 (MS)

Other Nurse Anesthetist, Certified Registered providers in Mississippi →

Registry record

NPI: 1134113087
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2005
Record last updated: 30 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.