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Pine Ridge Family Clinic, Llc
Nurse Practitioner in Collins, Mississippi
NPI 1366075236

Pine Ridge Family Clinic, Llc is a Nurse Practitioner based in Ellisville, MS. Pine Ridge Family Clinic, Llc practices in Collins, MS. The NPI Number for Pine Ridge Family Clinic, Llc is 1366075236 and holds a License No. (Mississippi).

The current practice location address for Pine Ridge Family Clinic, Llc is 3248 Highway 49, Collins, MS and can be reached out via phone at 601-800-8580 and via fax at 601-800-8583.

Location: 3248 Highway 49, Collins, MS, 39437-0177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366075236
Provider Name
Pine Ridge Family Clinic, Llc
Credential
Provider Entity Type
Organization
Address
3248 Highway 49, Collins, MS, 39437-0177
Phone Number
601-800-8580
Fax Number
601-800-8583
Provider Enumeration Date
02/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02053312 05 MS
institution
Provider Business Practice Location Address Details
Address
3248 Highway 49
City
Collins
State
Mississippi
Zip
39428
Phone Number
601-800-8580
Fax Number
601-800-8583
person
Provider Business Mailing Address Details
Address
3248 Highway 49
City
Collins
State
Mississippi
Zip
39428
Phone Number
601-800-8580
Fax Number
601-800-8583
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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