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PRIORITY MEDICAL CLINIC LLC NPI 1669805297


NPI Information

NPI: 1669805297
Provider Name: PRIORITY MEDICAL CLINIC, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 25D2064164

Address:
528 N 15TH AVE
SUITE E
LAUREL, MS
ZIP 39440
Phone: (601) 323-1920
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PRIORITY MEDICAL CLINIC, LLC is a family nurse practitioner in Laurel, MS. PRIORITY MEDICAL CLINIC, LLC NPI is 1669805297. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

528 N 15TH AVE
SUITE E
LAUREL, MS
ZIP 39440-842
Phone: (601) 323-1920
Fax: (855) 452-4557

The provider's authorized official is Lindy Cassell Cochran .
The authorized official title is Owner and has the following contact phone number (601) 323-1920.

The CLIA number assigned to this NPI record is 25D2064164 - other practitioner with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/19/2013 and was last updated on 8/20/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyR865733MISSISSIPPIYes

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: 11/14/2023

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