Organization · Type 2 NPI

Kuntry Nurse, LLC

Family Nurse Practitioner · Flowood, MS

NPI number 1548047970 Active

Practice location

232 Market Street, Suite 259
Flowood, MS 39232-3339

Call (601) 310-9784 Map

Mailing address

1252 West Government Street, P.o. Box 2336
Brandon, MS 39043-2336

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

Another provider at this address

Mississippi Medical Specialists PCClinic/Center Flowood, MS NPI 1619644051

Other family nurse practitioner providers in Flowood

See all in Flowood →

NPI record

NPI: 1548047970
Entity type: Organization (Type 2)
Issued: Sep 11, 2023
Last updated: Nov 10, 2024
Status: Active

Other names

<unavail>
Kuntry Nurse Telehealth · doing business as
Kuntry Nurse Telehealth · doing business as

Authorized official

Dametra Mangum, FNP
Chief Executive Officer
(601) 310-9784

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.

Is this your record? How to update it.

About NPI 1548047970

Kuntry Nurse, LLC's National Provider Identifier is 1548047970, issued on Sep 11, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Flowood, MS. The record was last updated on Nov 10, 2024.