MIND-BODY CONNECTION LLC NPI 1710855028

NPI Information

  • NPI: 1710855028
  • Provider Name: MIND-BODY CONNECTION, LLC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 716 DARBY AVE
    LAMBERT, MS
    ZIP 38643
  • Phone: (662) 351-4225

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NPI Details

MIND-BODY CONNECTION, LLC is a gerontology nurse practitioner in Lambert, MS. MIND-BODY CONNECTION, LLC NPI is 1710855028. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

716 DARBY AVE
LAMBERT, MS
ZIP 38643
Phone: (662) 351-4225
Fax: (662) 351-4225

The provider's authorized official is Karmesha Duke .
The authorized official title is Nurse Practitioner and has the following contact phone number (662) 351-4225.

The enumeration date for this NPI number is 10/28/2025 and was last updated on 10/28/2025.

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
1363LG0600XNurse PractitionerGerontologyYes

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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