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Superior Soles
Nurse Practitioner in Madison, Mississippi
NPI 1104466887

Superior Soles is a Nurse Practitioner based in Madison, MS. Superior Soles practices in Madison, MS. The NPI Number for Superior Soles is 1104466887 and holds a License No. (Mississippi).

The current practice location address for Superior Soles is 1888 Main St, Madison, MS and can be reached out via phone at 601-503-0335. You can also correspond with Superior Soles through the mailing address at 161 WOODLAND DR, MADISON, MS - 39110-8751 (mailing address contact number: 601-503-0335).

Location: 1888 Main St, Madison, MS, 39110-8751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104466887
Provider Name
Superior Soles
Credential
Provider Entity Type
Organization
Address
1888 Main St, Madison, MS, 39110-8751
Phone Number
601-503-0335
Fax Number
Provider Enumeration Date
01/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1888 Main St
City
Madison
State
Mississippi
Zip
39110
Phone Number
601-503-0335
Fax Number
person
Provider Business Mailing Address Details
Address
161 Woodland Dr
City
Madison
State
Mississippi
Zip
39110-8751
Phone Number
601-503-0335
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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