Individual provider · Type 1 NPI

Mary Ellen Porter, NP

Nurse Practitioner · Flowood, MS

NPI number 1356489272 Active

Practice location

1020 River Oaks Dr Ste 100
Flowood, MS 39232-9511

Fax (601) 932-4681

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN098282 (LA)
Nurse Practitioner Primary 363L00000XAP04559 (LA)

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 1356489272

Mary Ellen Porter, NP's National Provider Identifier is 1356489272, issued on Feb 2, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Flowood, MS. The record was last updated on Sep 11, 2020.