institution
Heartland Family Medical
Psychiatric/Mental Health Nurse Practitioner in Holly Springs, Mississippi
NPI 1376188391

Heartland Family Medical is a Psychiatric/Mental Health Nurse Practitioner based in Holly Springs, MS and is specialized in Psychiatric/Mental Health. Heartland Family Medical practices in Holly Springs, MS. The NPI Number for Heartland Family Medical is 1376188391 and holds a License No. (Mississippi).

The current practice location address for Heartland Family Medical is 130 W Van Dorn Ave, Holly Springs, MS and can be reached out via phone at 662-274-3212 and via fax at 662-274-3213.

Location: 130 W Van Dorn Ave, Holly Springs, MS, 38635-2902
institution
Provider Profile Details
NPI Number
1376188391
Provider Name
Heartland Family Medical
Credential
Provider Entity Type
Organization
Address
130 W Van Dorn Ave, Holly Springs, MS, 38635-2902
Phone Number
662-274-3212
Fax Number
662-274-3213
Provider Enumeration Date
11/13/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04274797 05 MS
institution
Provider Business Practice Location Address Details
Address
130 W Van Dorn Ave
City
State
Zip
38635-2902
Phone Number
662-274-3212
Fax Number
662-274-3213
person
Provider Business Mailing Address Details
Address
130 W Van Dorn Ave
City
State
Zip
38635-2902
Phone Number
662-274-3212
Fax Number
662-274-3213
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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