Organization · Type 2 NPI
Primary Family Medical Clinic
Nurse Practitioner · Byram, MS
Practice location
100 Marker Place Dr. Ste D
Byram, MS 39272
Fax (769) 300-8068
Mailing address
100 Marketplace Dr Ste D
Byram, MS 39272-8974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R772161 (MS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1093204158
Primary Family Medical Clinic's National Provider Identifier is 1093204158, issued on May 4, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Byram, MS. The record was last updated on Oct 29, 2019.