Organization · Type 2 NPI

Kids Avenue Pediatrics LLC

Nurse Practitioner · Brandon, MS

NPI number 1154092690 Active

Practice location

1061 Lake Village Cir Ste D1
Brandon, MS 39047-6723

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone 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…

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About NPI 1154092690

Kids Avenue Pediatrics LLC's National Provider Identifier is 1154092690, issued on Sep 24, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brandon, MS. The record was last updated on Sep 24, 2021.