KUNTRY NURSE LLC NPI 1548047970

NPI Information

  • NPI: 1548047970
  • Provider Name: KUNTRY NURSE, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: KUNTRY NURSE TELEHEALTH
  • Address: 232 MARKET STREET
    SUITE 259
    FLOWOOD, MS
    ZIP 39232
  • Phone: (601) 310-9784

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NPI Details

KUNTRY NURSE, LLC is a family nurse practitioner in Flowood, MS. KUNTRY NURSE, LLC NPI is 1548047970. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kuntry Nurse Telehealth.

The provider's business location address is:

232 MARKET STREET
SUITE 259
FLOWOOD, MS
ZIP 39232-339
Phone: (601) 310-9784

The provider's authorized official is Dametra Mangum .
The authorized official title is Chief Executive Officer and has the following contact phone number (601) 310-9784.

The enumeration date for this NPI number is 9/11/2023 and was last updated on 11/10/2024.

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: 3/30/2025

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