Organization · Type 2 NPI

Elite Medical Southeast, LLC

Family Nurse Practitioner · Southaven, MS

NPI number 1184429284 Active

Practice location

7165 Swinnea Rd Bldg B2
Southaven, MS 38671-6361

Call (662) 922-2023 Map

Mailing address

7165 Swinnea Rd # 5
Southaven, MS 38671-6360

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1184429284

Elite Medical Southeast, LLC's National Provider Identifier is 1184429284, issued on Feb 13, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southaven, MS. The record was last updated on Oct 9, 2026.