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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STAR J WILSON

Active Sole Proprietor

STAR J WILSON is a Registered Nurse healthcare provider located in MOORHEAD, Mississippi. NPI 1386478865 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · MOORHEAD, MS

Registration Details

NPI Number
1386478865
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2024 (1.9843514690473 yrs)
Last Updated
Sep 11, 2025
License
923940 (MS)
Sole Proprietor
Yes

Practice Information

Address
1014 JOHNNY RUSSELL DRIVE
MOORHEAD, MS, 38761
Browse MS providers · Browse ZIP 38761
Phone
6623787508
Primary Specialty
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.