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VAIL FAMILY CLINIC LLC NPI 1710520101


NPI Information

NPI: 1710520101
Provider Name: VAIL FAMILY CLINIC, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
800 E MAIN ST
TUPELO, MS
ZIP 38804
Phone: (662) 841-0617
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VAIL FAMILY CLINIC, LLC is a family nurse practitioner in Tupelo, MS. VAIL FAMILY CLINIC, LLC NPI is 1710520101. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 E MAIN ST
TUPELO, MS
ZIP 38804-826
Phone: (662) 841-0617

The provider's authorized official is Robert Ira Vail .
The authorized official title is Administrator and has the following contact phone number (662) 841-0617.

The enumeration date for this NPI number is 10/18/2019 and was last updated on 10/18/2019.


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 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: 4/28/2024

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