Organization · Type 2 NPI
Ivyraine Women's Clinic
Women's Health Nurse Practitioner · Southaven, MS
NPI number
1962166264
Active
Practice location
3964 Goodman Rd E Ste 131
Southaven, MS 38672-8762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | None listed |
Women's Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other women's health nurse practitioner providers in Southaven
About NPI 1962166264
Ivyraine Women's Clinic's National Provider Identifier is 1962166264, issued on Oct 24, 2021. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Southaven, MS. The record was last updated on Dec 29, 2021.