Organization · Type 2 NPI
Superior Soles
Nurse Practitioner · Madison, MS
Practice location
1888 Main St
Madison, MS 39110
Mailing address
161 Woodland Dr
Madison, MS 39110-8751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
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…
Other nurse practitioner providers in Madison
About NPI 1104466887
Superior Soles's National Provider Identifier is 1104466887, issued on Jan 10, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Madison, MS. The record was last updated on Jan 10, 2020.