Organization · Type 2 NPI

Phoenix Rising Healthcare LLC

Medical Specialty Clinic/Center · Tupelo, MS

NPI number 1295654069 Active

Practice location

248 S Veterans Blvd
Tupelo, MS 38804-5022

Mailing address

803 Maynard Dr
Tupelo, MS 38801-5651

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1295654069

Phoenix Rising Healthcare LLC's National Provider Identifier is 1295654069, issued on Jul 14, 2026. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Tupelo, MS. The record was last updated on Jul 14, 2026.