WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC NPI 1427429992

NPI Information

WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC is a primary care nurse practitioner in Tupelo, MS. WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC NPI is 1427429992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 S THOMAS ST
TUPELO, MS
ZIP 38801-352
Phone: (813) 712-9638

The provider's authorized official is Neil Vickers .
The authorized official title is Owner and has the following contact phone number (813) 712-9638.

The enumeration date for this NPI number is 10/9/2015 and was last updated on 10/9/2015.

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:

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