Organization · Type 2 NPI
Cradle To the Grave Healthcare LLC
Nurse Practitioner · Leakesville, MS
Practice location
413 Saint Francis St Ste B
Leakesville, MS 39451-8909
Fax (601) 947-1331
Mailing address
PO Box 1126
Leakesville, MS 39451-1126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R875627 (MS) |
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 1770935611
Cradle To the Grave Healthcare LLC's National Provider Identifier is 1770935611, issued on Jul 3, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Leakesville, MS. The record was last updated on Jul 3, 2016.