Organization · Type 2 NPI

Tyler Holmes Memorial Hospital

Family Nurse Practitioner · Kilmichael, MS

NPI number 1346084985 Active

Practice location

400 Lamar Ave
Kilmichael, MS 39747-9780

Call (662) 283-4114 Map

Mailing address

409 Tyler Holmes Dr
Winona, MS 38967-1521

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center	261QR1300X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

Another provider at this address

Greenwood Leflore HospitalRural Health Clinic/Center Kilmichael, MS NPI 1124088299

NPI record

NPI: 1346084985
Entity type: Organization (Type 2)
Issued: Jun 19, 2024
Last updated: Apr 2, 2025
Status: Active
Subpart: Yes of Tyler Holmes Memorial Hospital

Other names

<unavail>
Tyler Holmes Kilmichael Clinic · doing business as
Tyler Holmes Kilmichael Clinic · doing business as

Authorized official

Cori H Bailey
Administrator
(662) 283-4114

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346084985

Tyler Holmes Memorial Hospital's National Provider Identifier is 1346084985, issued on Jun 19, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kilmichael, MS. The record was last updated on Apr 2, 2025.