institution
Central Ms School Based Health Llc.
Family Nurse Practitioner in Ethel, Mississippi
NPI 1851623664

Central Ms School Based Health Llc. is a Family Nurse Practitioner based in Ethel, MS and is specialized in Family. Central Ms School Based Health Llc. practices in Ethel, MS. The NPI Number for Central Ms School Based Health Llc. is 1851623664 and holds a License No. R853619 (Mississippi).

The current practice location address for Central Ms School Based Health Llc. is 2268 College Street, Ethel, MS and can be reached out via phone at 662-674-0198 and via fax at 662-674-0098.

Location: 2268 College Street, Ethel, MS, 39067-0356
institution
Provider Profile Details
NPI Number
1851623664
Provider Name
Central Ms School Based Health Llc.
Credential
Provider Entity Type
Organization
Address
2268 College Street, Ethel, MS, 39067-0356
Phone Number
662-674-0198
Fax Number
662-674-0098
Provider Enumeration Date
02/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00255854 05 MS
institution
Provider Business Practice Location Address Details
Address
2268 College Street
City
State
Zip
39067
Phone Number
662-674-0198
Fax Number
662-674-0098
person
Provider Business Mailing Address Details
Address
2268 College Street
City
State
Zip
39067
Phone Number
662-674-0198
Fax Number
662-674-0098
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R853619 (Mississippi)
Definition
Definition to come...
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