TELEHEALTHONE LLC NPI 1558718304

NPI Information

NPI: 1558718304
Provider Name: TELEHEALTHONE, LLC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
225 MEADOWBROOK ROAD
JACKSON, MS
ZIP 39206
Phone: (601) 859-4342
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TELEHEALTHONE, LLC is an acute care nurse practitioner in Jackson, MS. TELEHEALTHONE, LLC NPI is 1558718304. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

225 MEADOWBROOK ROAD
JACKSON, MS
ZIP 39206
Phone: (601) 859-4342
Fax: (844) 965-9592

The provider's authorized official is Christpher B Powe .
The authorized official title is Chief Operating Officer and has the following contact phone number (601) 859-4342.

The enumeration date for this NPI number is 5/23/2016 and was last updated on 5/23/2016.

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	Primary
1	363LF0000X	Nurse Practitioner	Family	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
3	363LA2100X	Nurse Practitioner	Acute Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	378201	MEDICARE UPIN	MISSISSIPPI
2	00525567	MEDICAID	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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