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PEACE WELLNESS CENTER LLC NPI 1538411129


NPI Information

NPI: 1538411129
Provider Name: PEACE WELLNESS CENTER LLC
Classification: Registered Nurse - 163WG0000X
Entity Type: Organization

Specialization: General Practice

Address:
502 MULBERRY ST
VAIDEN, MS
ZIP 39176
Phone: (601) 292-7015
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PEACE WELLNESS CENTER LLC is a general practice registered nurse in Vaiden, MS. PEACE WELLNESS CENTER LLC NPI is 1538411129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

502 MULBERRY ST
VAIDEN, MS
ZIP 39176-648
Phone: (601) 292-7015
Fax: (866) 844-6508

The provider's authorized official is Louise Reid .
The authorized official title is Provider and has the following contact phone number (601) 292-7015.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 9/19/2013.


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
1163WG0000XRegistered NurseGeneral PracticeR852760MISSISSIPPIYes

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

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