Organization · Type 2 NPI

Family Care of Evergreen, LLC

Nurse Practitioner · Nettleton, MS

NPI number 1841692852 Active

Practice location

4929 Highway 371 S
Nettleton, MS 38858-6901

Fax (662) 963-9157

Mailing address

PO Box 189
Plantersville, MS 38862-0189

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR713511 (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…

2 other providers at this address

About NPI 1841692852

Family Care of Evergreen, LLC's National Provider Identifier is 1841692852, issued on Sep 22, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Nettleton, MS. The record was last updated on Sep 22, 2014.