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Kids Avenue Pediatrics Llc
Nurse Practitioner in Brandon, Mississippi
NPI 1154092690

Kids Avenue Pediatrics Llc is a Nurse Practitioner based in Brandon, MS. Kids Avenue Pediatrics Llc practices in Brandon, MS. The NPI Number for Kids Avenue Pediatrics Llc is 1154092690 and holds a License No. (Mississippi).

The current practice location address for Kids Avenue Pediatrics Llc is 1061 Lake Village Cir Ste D1, Brandon, MS and can be reached out via phone at 601-941-0699. You can also correspond with Kids Avenue Pediatrics Llc through the mailing address at 1061 LAKE VILLAGE CIR STE D1, BRANDON, MS - 39047-6723 (mailing address contact number: 601-941-0699).

Location: 1061 Lake Village Cir Ste D1, Brandon, MS, 39047-6723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154092690
Provider Name
Kids Avenue Pediatrics Llc
Credential
Provider Entity Type
Organization
Address
1061 Lake Village Cir Ste D1, Brandon, MS, 39047-6723
Phone Number
601-941-0699
Fax Number
Provider Enumeration Date
09/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1061 Lake Village Cir Ste D1
City
Brandon
State
Mississippi
Zip
39047-6723
Phone Number
601-941-0699
Fax Number
person
Provider Business Mailing Address Details
Address
1061 Lake Village Cir Ste D1
City
Brandon
State
Mississippi
Zip
39047-6723
Phone Number
601-941-0699
Fax Number
person
Provider's Taxonomy Details 1
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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