Organization · Type 2 NPI

Wound Care Medical Mississippi LLC

Nurse Practitioner · Madison, MS

NPI number 1629870035 Active

Practice location

Attn: Wound Care Medical Mississippi Llc, 109 Executive Drive, Suite 3
Madison, MS 39110

Fax (512) 243-6916

Mailing address

8161 Highway 100 Ste 264
Nashville, TN 37221-4213

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone 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…

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About NPI 1629870035

Wound Care Medical Mississippi LLC's National Provider Identifier is 1629870035, issued on Mar 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Madison, MS. The record was last updated on Apr 18, 2025.