SANDRA SCRUGGS RN NPI 1821565722

NPI Information

NPI: 1821565722
Provider Name: SANDRA SCRUGGS, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2434 S EASON BLVD
TUPELO, MS
ZIP 38804
Phone: (662) 640-4595
Get Directions

Sandra Scruggs, RN is a psychiatric/mental health registered nurse in Tupelo, MS. Sandra Scruggs, RN NPI is 1821565722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2434 S EASON BLVD
TUPELO, MS
ZIP 38804-942
Phone: (662) 640-4595
Fax: (662) 680-6416

The enumeration date for this NPI number is 10/29/2018 and was last updated on 10/29/2018.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	853310	MISSISSIPPI	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	00018203	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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