Organization · Type 2 NPI
Central MS School Based Health Llc.
Family Nurse Practitioner · Ethel, MS
NPI number
1851623664
Active
Practice location
2268 College Street
Ethel, MS 39067
Fax (662) 674-0098
Mailing address
PO Box 356
Ethel, MS 39067-0356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R853619 (MS) |
Family Nurse Practitioner: Definition to come...
About NPI 1851623664
Central MS School Based Health Llc.'s National Provider Identifier is 1851623664, issued on Feb 3, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ethel, MS. The record was last updated on Feb 3, 2010.