Organization · Type 2 NPI
Off Main Street Medical PLLC
Family Nurse Practitioner · Taylorsville, MS
NPI number
1023408614
Active
Practice location
336 Eureka Street
Taylorsville, MS 39168-0291
Fax (601) 785-6681
Mailing address
PO Box 291, 336 Eureka Street
Taylorsville, MS 39168-0291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R764114 (MS) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Taylorsville
About NPI 1023408614
Off Main Street Medical PLLC's National Provider Identifier is 1023408614, issued on Feb 3, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Taylorsville, MS. The record was last updated on Jul 29, 2021.