Organization · Type 2 NPI

Cradle To the Grave Healthcare LLC

Nurse Practitioner · Leakesville, MS

NPI number 1770935611 Active

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

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR875627 (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.