Organization · Type 2 NPI
Abundant Health Services, LLC
Family Nurse Practitioner · Jackson, MS
NPI number
1306118823
Active
Practice location
6029 Kristen Dr
Jackson, MS 39211-2817
Mailing address
PO Box 13466
Jackson, MS 39236-3466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R856470 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306118823
Abundant Health Services, LLC's National Provider Identifier is 1306118823, issued on Jan 30, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Jan 30, 2012.