MS STATE DEPT OF HELTH NPI 1841370749

NPI Information

NPI: 1841370749
Provider Name: MS STATE DEPT OF HELTH
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

Address:
3128 8TH ST
MERIDIAN, MS
ZIP 39301
Phone: (601) 482-3171
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MS STATE DEPT OF HELTH is a women's health nurse practitioner in Meridian, MS. MS STATE DEPT OF HELTH NPI is 1841370749. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3128 8TH ST
MERIDIAN, MS
ZIP 39301-753
Phone: (601) 482-3171

The provider's authorized official is Mark Phillips .
The authorized official title is Clams Adjuster and has the following contact phone number (601) 576-7566.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/22/2020.

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	363LW0102X	Nurse Practitioner	Women's Health	R505307	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	00124030	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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