Organization · Type 2 NPI
Mississippi Medical Clinic
Family Nurse Practitioner · Taylorsville, MS
NPI number
1114694536
Active
Practice location
403 Pine St
Taylorsville, MS 39168-5659
Fax (601) 452-7083
Other practice locations
- 2170 Simpson Hwy 49, Mendenhall, MS 39114 · (601) 452-7080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Taylorsville
About NPI 1114694536
Mississippi Medical Clinic's National Provider Identifier is 1114694536, issued on Aug 24, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Taylorsville, MS. The record was last updated on Apr 25, 2022.