Organization · Type 2 NPI
Central MS School Based Health, LLC
Family Nurse Practitioner · Mc Cool, MS
NPI number
1912933623
Active
Practice location
26050 Highway 12
Mc Cool, MS 39108-9160
Fax (662) 289-6450
Mailing address
5264 Attala Road 1135
Kosciusko, MS 39090-6597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R853619 (MS) |
Family Nurse Practitioner: Definition to come...
About NPI 1912933623
Central MS School Based Health, LLC's National Provider Identifier is 1912933623, issued on Jun 24, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mc Cool, MS. The record was last updated on Mar 7, 2008.