Organization · Type 2 NPI
Old Towne Medical LLC
Family Nurse Practitioner · Olive Branch, MS
NPI number
1013312172
Active
Practice location
9066 Highland St
Olive Branch, MS 38654-2307
Fax (662) 874-6038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R644986 (MS) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Olive Branch
About NPI 1013312172
Old Towne Medical LLC's National Provider Identifier is 1013312172, issued on Oct 30, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Olive Branch, MS. The record was last updated on Jul 30, 2019.