Abundant Health Services, LLC
Nurse Practitioner, Family in Jackson, MS. Organization (NPI-2).
NPI number1306118823
StatusActive
Last updated in NPPESJan 30, 2012
Details
- NPI
- 1306118823
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2012
- Last updated
- Jan 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R856470 | MS | Yes |
Practice location
6029 Kristen DrJackson, MS 39211-2817
Phone 601-718-7827
Mailing address
Po Box 13466Jackson, MS 39236-3466
Phone 601-718-7827
Authorized official
Barbara L Tapps
Nurse Practitioner
6017187827
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