ADVANCED MEDICAL REHABILITATION LLC NPI 1831132562

NPI Information

NPI: 1831132562
Provider Name: ADVANCED MEDICAL REHABILITATION, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1051 LEE DR
SUITE 1B
CLARKSDALE, MS
ZIP 38614
Phone: (662) 624-2466
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ADVANCED MEDICAL REHABILITATION, LLC is a family nurse practitioner in Clarksdale, MS. ADVANCED MEDICAL REHABILITATION, LLC NPI is 1831132562. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1051 LEE DR
SUITE 1B
CLARKSDALE, MS
ZIP 38614-615
Phone: (662) 624-2466
Fax: (662) 624-4876

The provider's authorized official is John C. Berry .
The authorized official title is Owner and has the following contact phone number (662) 624-2466.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/22/2020.

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	363LF0000X	Nurse Practitioner	Family	R659975	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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