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Innovative Healthcare Management Llc
Psychiatric/Mental Health Nurse Practitioner in Mccomb, Mississippi
NPI 1861622722

Innovative Healthcare Management Llc is a Psychiatric/Mental Health Nurse Practitioner based in Mccomb, MS and is specialized in Psychiatric/Mental Health. Innovative Healthcare Management Llc practices in Mccomb, MS. The NPI Number for Innovative Healthcare Management Llc is 1861622722 and holds a License No. (Mississippi).

The current practice location address for Innovative Healthcare Management Llc is 3078 Highway 98 E, Mccomb, MS and can be reached out via phone at 601-205-9994 and via fax at 480-478-0633.

Location: 3078 Highway 98 E, Mccomb, MS, 39649-2049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861622722
Provider Name
Innovative Healthcare Management Llc
Credential
Provider Entity Type
Organization
Address
3078 Highway 98 E, Mccomb, MS, 39649-2049
Phone Number
601-205-9994
Fax Number
480-478-0633
Provider Enumeration Date
07/24/2009
Last Update Date
10/19/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
320915 05 AZ
Z131830 01 AZ MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3078 Highway 98 E
City
Mccomb
State
Mississippi
Zip
39648-8267
Phone Number
601-205-9994
Fax Number
480-478-0633
person
Provider Business Mailing Address Details
Address
3078 Highway 98 E
City
Mccomb
State
Mississippi
Zip
39648-8267
Phone Number
601-205-9994
Fax Number
480-478-0633
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
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
363LP0808X
License No.
()
Definition
Definition to come...
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