Organization · Type 2 NPI

Superior Wound Care

Nurse Practitioner · Ridgeland, MS

NPI number 1184598765 Active

Practice location

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079

Fax (855) 582-1326

Mailing address

2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139

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 1184598765

Superior Wound Care's National Provider Identifier is 1184598765, issued on Oct 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ridgeland, MS. The record was last updated on Oct 6, 2025.