BAY REJUVENATION NPI 1528707585

NPI Information

NPI: 1528707585
Provider Name: BAY REJUVENATION
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
309 REESE ST
BAY SAINT LOUIS, MS
ZIP 39520
Phone: (662) 571-0916
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BAY REJUVENATION is an infusion therapy clinic center in Bay Saint Louis, MS. BAY REJUVENATION NPI is 1528707585. The provider is registered as an organization entity type.

The provider's business location address is:

309 REESE ST
BAY SAINT LOUIS, MS
ZIP 39520-823
Phone: (662) 571-0916

The provider's authorized official is Alisa Stephens .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (662) 571-0916.

The enumeration date for this NPI number is 5/29/2022 and was last updated on 5/29/2022.

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	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QI0500X	Clinic/Center	Infusion Therapy			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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