NURSE PRACTITIONER HOUSE CALLS NPI 1982115945

NPI Information

NPI: 1982115945
Provider Name: NURSE PRACTITIONER HOUSE CALLS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 25D2137226

Address:
109 E DONALD ST
QUITMAN, MS
ZIP 39355
Phone: (601) 513-8508
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NURSE PRACTITIONER HOUSE CALLS is a family nurse practitioner in Quitman, MS. NURSE PRACTITIONER HOUSE CALLS NPI is 1982115945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

109 E DONALD ST
QUITMAN, MS
ZIP 39355-310
Phone: (601) 513-8508
Fax: (601) 557-4181

The provider's authorized official is Wendell T Carney .
The authorized official title is Fnp and has the following contact phone number (601) 513-8508.

The CLIA number assigned to this NPI record is 25D2137226 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2017 and was last updated on 1/18/2023.

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	862287	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	862287	OTHER	MISSISSIPPI	MS FNP LICENSE

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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