Organization · Type 2 NPI

Ortho Express Holding Company, LLC

Nurse Practitioner · Tupelo, MS

NPI number 1720506264 Active

Practice location

3952C N Gloster St
Tupelo, MS 38804-0913

Call (662) 350-0737 Map

Fax (662) 534-2330

Mailing address

206 Oxford Rd
New Albany, MS 38652-3115

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner Primary	363L00000X	None 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 1720506264

Ortho Express Holding Company, LLC's National Provider Identifier is 1720506264, issued on Sep 5, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tupelo, MS. The record was last updated on Feb 17, 2026.