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ON-SITE HEALTH LLC NPI 1598348799


NPI Information

NPI: 1598348799
Provider Name: ON-SITE HEALTH LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 25D2235202

Address:
10 CANEBRAKE BLVD STE 110-09
FLOWOOD, MS
ZIP 39232
Phone: (769) 333-8808
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ON-SITE HEALTH LLC is a family nurse practitioner in Flowood, MS. ON-SITE HEALTH LLC NPI is 1598348799. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 CANEBRAKE BLVD STE 110-09
FLOWOOD, MS
ZIP 39232-211
Phone: (769) 333-8808
Fax: (769) 333-8809

The provider's authorized official is Donald Gregory Tisdale .
The authorized official title is Nurse Practitioner and has the following contact phone number (228) 669-4505.

The CLIA number assigned to this NPI record is 25D2235202 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/4/2021 and was last updated on 5/28/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.