BRUNSWICK URGENT CARE LLC NPI 1023571411

NPI Information

NPI: 1023571411
Provider Name: BRUNSWICK URGENT CARE, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 11D2167152

Address:
208 SCRANTON CONNECTOR STE 117
BRUNSWICK, GA
ZIP 31525
Phone: (912) 574-5958
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BRUNSWICK URGENT CARE, LLC is a family nurse practitioner in Brunswick, GA. BRUNSWICK URGENT CARE, LLC NPI is 1023571411. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

208 SCRANTON CONNECTOR STE 117
BRUNSWICK, GA
ZIP 31525-560
Phone: (912) 574-5958

The provider's authorized official is Jennifer Heller .
The authorized official title is Owner and has the following contact phone number (912) 574-5958.

The CLIA number assigned to this NPI record is 11D2167152 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2019 and was last updated on 4/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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