ADVANCED DIABETES MANAGEMENT CENTER LLC NPI 1528465424

NPI Information

NPI: 1528465424
Provider Name: ADVANCED DIABETES MANAGEMENT CENTER LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
449 GLOSTER CREEK
SUITE H-9
TUPELO, MS
ZIP 38801
Phone: (662) 842-7840
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ADVANCED DIABETES MANAGEMENT CENTER LLC is a family nurse practitioner in Tupelo, MS. ADVANCED DIABETES MANAGEMENT CENTER LLC NPI is 1528465424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

449 GLOSTER CREEK
SUITE H-9
TUPELO, MS
ZIP 38801-000
Phone: (662) 842-7840
Fax: (662) 842-7873

The provider's authorized official is Nativel Collins .
The authorized official title is Np/owner and has the following contact phone number (662) 842-7840.

The enumeration date for this NPI number is 11/21/2014 and was last updated on 1/27/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R873068	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: 4/28/2024

NPI Synchronization or Removal

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