Organization · Type 2 NPI

Essential School Based Health Clinic

Nurse Practitioner · Rosedale, MS

NPI number 1417740580 Active

Practice location

909 Highway 8
Rosedale, MS 38769-2300

Mailing address

PO Box 16
Rosedale, MS 38769-0016

Specialties and licenses

TaxonomyCodeLicense
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…

About NPI 1417740580

Essential School Based Health Clinic's National Provider Identifier is 1417740580, issued on May 22, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rosedale, MS. The record was last updated on Aug 6, 2026.