Organization · Type 2 NPI
Enhanced Wellness of Oak Grove, PLLC
Family Nurse Practitioner · Hattiesburg, MS
NPI number
1154564920
Active
Practice location
56 98 Place Blvd
Hattiesburg, MS 39402-8603
Fax (601) 450-4640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1154564920
Enhanced Wellness of Oak Grove, PLLC's National Provider Identifier is 1154564920, issued on Apr 9, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on Nov 15, 2021.