Organization · Type 2 NPI
Autospa-Healthy Youth Center
Family Nurse Practitioner · Clarksdale, MS
NPI number
1063957751
Active
Practice location
1202 Desoto Ave, Suite A
Clarksdale, MS 38614
Fax (662) 483-1627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Clarksdale
About NPI 1063957751
Autospa-Healthy Youth Center's National Provider Identifier is 1063957751, issued on Jan 4, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clarksdale, MS. The record was last updated on Jan 4, 2017.