CARING HANDS CHILDREN'S CLINIC II LLC NPI 1639764020

NPI Information

  • NPI: 1639764020
  • Provider Name: CARING HANDS CHILDREN'S CLINIC II, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 25D2071114
  • Address: 29 SECOND ST.
    MEADVILLE, MS
    ZIP 39653
  • Phone: (601) 587-4304

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NPI Details

CARING HANDS CHILDREN'S CLINIC II, LLC is a primary care nurse practitioner in Meadville, MS. CARING HANDS CHILDREN'S CLINIC II, LLC NPI is 1639764020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29 SECOND ST.
MEADVILLE, MS
ZIP 39653-965
Phone: (601) 587-4304
Fax: (601) 587-4515

The provider's authorized official is Deontranese Taylor .
The authorized official title is Nurse Practitioner and has the following contact phone number (601) 754-0772.

The CLIA number assigned to this NPI record is 25D2071114 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2021 and was last updated on 4/27/2021.

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
1363LP2300XNurse PractitionerPrimary CareYes

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: 11/21/2025

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