Organization · Type 2 NPI
Prime Health and Wellness
Family Nurse Practitioner · Fayette, MS
NPI number
1942741764
Active
Practice location
300 Shannon Street
Fayette, MS 39069
Mailing address
PO Box 2405
Fayette, MS 39069-2405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 870575 (MS) |
Family Nurse Practitioner: Definition to come...
About NPI 1942741764
Prime Health and Wellness's National Provider Identifier is 1942741764, issued on Mar 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayette, MS. The record was last updated on Mar 13, 2017.