Organization · Type 2 NPI
Kidney Focused Care, LLC
Primary Care Nurse Practitioner · Jackson, MS
NPI number
1003418997
Active
Practice location
2633 Ridgewood Rd Ste 105
Jackson, MS 39216-4962
Fax (601) 665-4429
Mailing address
702 Pecan Ct
Brandon, MS 39042-6012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Jackson
About NPI 1003418997
Kidney Focused Care, LLC's National Provider Identifier is 1003418997, issued on Nov 15, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Jackson, MS. The record was last updated on Apr 22, 2021.