VITA TEMPUS LLC NPI 1104662279

NPI Information

  • NPI: 1104662279
  • Provider Name: VITA TEMPUS, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 134 FAIRMONT ST STE C
    CLINTON, MS
    ZIP 39056
  • Phone: (769) 348-3330

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NPI Details

VITA TEMPUS, LLC is a family nurse practitioner in Clinton, MS. VITA TEMPUS, LLC NPI is 1104662279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

134 FAIRMONT ST STE C
CLINTON, MS
ZIP 39056-739
Phone: (769) 348-3330
Fax: (769) 348-3351

The provider's authorized official is Prince S Mcclinton .
The authorized official title is Co-owner/fnp and has the following contact phone number (769) 348-3330.

The enumeration date for this NPI number is 7/8/2024 and was last updated on 7/8/2024.

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
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: 11/21/2025

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