RESTORE HEALTH PLLC NPI 1699140152

NPI Information

NPI: 1699140152
Provider Name: RESTORE HEALTH PLLC

Doing Business As: RESTORE HEALTH CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1551 E COUNTY LINE RD
JACKSON, MS
ZIP 39211
Phone: (601) 957-7343
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RESTORE HEALTH PLLC is a primary care clinic center in Jackson, MS. RESTORE HEALTH PLLC NPI is 1699140152. The provider is registered as an organization entity type.
The provider Is Doing Business As Restore Health Clinic.

The provider's business location address is:

1551 E COUNTY LINE RD
JACKSON, MS
ZIP 39211-801
Phone: (601) 957-7343
Fax: (601) 957-7344

The provider's authorized official is Shinita Reed Dudley .
The authorized official title is Owner and has the following contact phone number (601) 957-7343.

The enumeration date for this NPI number is 12/9/2015 and was last updated on 4/8/2016.

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	261QP2300X	Clinic/Center	Primary Care	18239	MISSISSIPPI	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: 5/5/2024

NPI Synchronization or Removal

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