PRIME HEALTH AND WELLNESS NPI 1942741764

NPI Information

NPI: 1942741764
Provider Name: PRIME HEALTH AND WELLNESS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
300 SHANNON STREET
FAYETTE, MS
ZIP 39069
Phone: (601) 597-2167
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PRIME HEALTH AND WELLNESS is a family nurse practitioner in Fayette, MS. PRIME HEALTH AND WELLNESS NPI is 1942741764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 SHANNON STREET
FAYETTE, MS
ZIP 39069
Phone: (601) 597-2167

The provider's authorized official is Cinda Perryman .
The authorized official title is Fnp and has the following contact phone number (601) 597-2167.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 3/13/2017.

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	363LF0000X	Nurse Practitioner	Family	870575	MISSISSIPPI	Yes

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

NPI Synchronization or Removal

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