Active NPI
Pamela A Wilson, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Iuka, MS
National Provider Identifier
1447162102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 908604
- Practice address
- 302 Kaki St
Iuka, MS 38852-1117 - Phone
- (662) 423-3662
- Fax
- (662) 200-5958
- NPI assigned
- Sep 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 908604 | MS | Primary |
Addresses
Primary practice location
302 Kaki St
Iuka, MS 38852-1117
Mailing address
302 Kaki St
Iuka, MS 38852-1117
Phone (662) 423-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1447162102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 KAKI ST",
"city": "IUKA",
"state": "MS",
"postal_code": "388521117",
"telephone_number": "662-423-9229",
"fax_number": "662-200-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 KAKI ST",
"city": "IUKA",
"state": "MS",
"postal_code": "388521117",
"telephone_number": "662-423-3662",
"fax_number": "662-200-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "PAMELA",
"middle_name": "A",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "908604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.