institution
Family Care Medical Clinic, Llc
Family Nurse Practitioner in Tupelo, Mississippi
NPI 1437210457

Family Care Medical Clinic, Llc is a Family Nurse Practitioner based in Tupelo, MS and is specialized in Family. Family Care Medical Clinic, Llc practices in Tupelo, MS. The NPI Number for Family Care Medical Clinic, Llc is 1437210457 and holds a License No. R729086 (Mississippi).

The current practice location address for Family Care Medical Clinic, Llc is 109 Park Gate Ext, Tupelo, MS and can be reached out via phone at 662-840-4175 and via fax at 662-840-8279.

Location: 109 Park Gate Ext, Tupelo, MS, 38801-3038
institution
Provider Profile Details
NPI Number
1437210457
Provider Name
Family Care Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
109 Park Gate Ext, Tupelo, MS, 38801-3038
Phone Number
662-840-4175
Fax Number
662-840-8279
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00124764 05 MS
institution
Provider Business Practice Location Address Details
Address
109 Park Gate Ext
City
State
Zip
38801-3038
Phone Number
662-840-4175
Fax Number
662-840-8279
person
Provider Business Mailing Address Details
Address
109 Park Gate Ext
City
State
Zip
38801-3038
Phone Number
662-840-4175
Fax Number
662-840-8279
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R729086 (Mississippi)
Definition
Definition to come...
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