Individual provider · Type 1 NPI

Rachael Sudderth, NP-C

Nurse Practitioner · Ridgeland, MS

NPI number 1952955684 Active

Practice location

204 W Jackson St Ste B
Ridgeland, MS 39157-2310

Mailing address

123 Varese Pl
Madison, MS 39110-6871

Other practice locations

  • 123 Varese Pl, Madison, MS 39110-6871 · (601) 624-5448

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X904343 (MS)
Registered Nurse 163W00000X891932 (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

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About NPI 1952955684

Rachael Sudderth, NP-C's National Provider Identifier is 1952955684, issued on Jul 31, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ridgeland, MS. The record was last updated on Feb 1, 2021.