Organization · Type 2 NPI
Prime Care Clinic of Clinton, LLC
Adult Health Nurse Practitioner · Clinton, MS
NPI number
1790444263
Active
Practice location
709 Clinton Pkwy
Clinton, MS 39056-5245
Mailing address
PO Box 785
Clinton, MS 39060-0785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1790444263
Prime Care Clinic of Clinton, LLC's National Provider Identifier is 1790444263, issued on Dec 13, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Clinton, MS. The record was last updated on Jan 25, 2022.