Organization · Type 2 NPI

Milestones Pediatric Clinic, LLC

Pediatric Nurse Practitioner · Brookhaven, MS

NPI number 1114543980 Active

Practice location

224 S Church St Ste B
Brookhaven, MS 39601-3232

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1114543980

Milestones Pediatric Clinic, LLC's National Provider Identifier is 1114543980, issued on Jun 17, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brookhaven, MS. The record was last updated on Jan 19, 2023.