Star J Wilson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

923940 Issued in MS

Practice address

1014 Johnny Russell Drive
Moorhead, MS 38761

Phone

(662) 378-7508

NPI assigned

Aug 28, 2024

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilson's Integrity Staffing & Healthcare (Wish) Agency

  • Home Health Agency
  • Moorhead, MS
  • NPI 1053227991
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1386478865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "MOORHEAD",
            "state": "MS",
            "postal_code": "387610036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 JOHNNY RUSSELL DRIVE",
            "city": "MOORHEAD",
            "state": "MS",
            "postal_code": "38761",
            "telephone_number": "662-378-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STAR",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "923940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Health Center, Inc (DHC-Moorhead Central School)
• Delta Health Center, Inc.
• Kashanta Murphy Jackson, LPC
• South Sunflower County Hospital (Phillips Health Center)
• Augusta Forest Swan
• Wilson's Integrity Staffing & Healthcare (Wish) Agency

• Registered Nurse in Moorhead, MS
• Providers in Moorhead, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.