Organization · Type 2 NPI

Mississippi Em-I Medical Services PC

Nurse Practitioner · De Kalb, MS

NPI number 1407412976 Active

Practice location

14365 Highway 16 W
De Kalb, MS 39328-7974

Mailing address

PO Box 80180
Philadelphia, PA 19101-1180

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
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…

9 other providers at this address

About NPI 1407412976

Mississippi Em-I Medical Services PC's National Provider Identifier is 1407412976, issued on May 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in De Kalb, MS. The record was last updated on Aug 21, 2019.