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PREMIER HEALTH & WELLNESS CLINIC LLC NPI 1558764464


NPI Information

NPI: 1558764464
Provider Name: PREMIER HEALTH & WELLNESS CLINIC LLC
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization
Address:
300 HIGHLAND BLVD
SUITE B
NATCHEZ, MS
ZIP 39120
Phone: (601) 304-2421
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PREMIER HEALTH & WELLNESS CLINIC LLC is a licensed practical nurse in Natchez, MS. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. PREMIER HEALTH & WELLNESS CLINIC LLC NPI is 1558764464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 HIGHLAND BLVD
SUITE B
NATCHEZ, MS
ZIP 39120-600
Phone: (601) 304-2421

The provider's authorized official is Angie O Waller .
The authorized official title is Fnp and has the following contact phone number (601) 304-2421.

The enumeration date for this NPI number is 10/6/2014 and was last updated on 3/9/2015.


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
1164W00000XLicensed Practical NurseR853759MISSISSIPPIYes

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

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