Nurse Practitioner House Calls
Nurse Practitioner, Family in Quitman, MS. Organization (NPI-2).
NPI number1982115945
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1982115945
- Entity type
- Organization (NPI-2)
- Legal business name
- Nurse Practitioner House Calls
- Organization subpart
- No
- Enumeration date
- Oct 18, 2017
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 862287 | MS | Yes |
Practice location
109 E Donald StQuitman, MS 39355-2310
Phone 601-513-8508 · Fax 601-557-4181
Mailing address
Po Box 838Quitman, MS 39355-0838
Phone 601-513-8508 · Fax 601-557-4181
Other practice locations
111 Main St
Quitman, MS 39355-2119
Quitman, MS 39355-2119
Phone 601-527-3145
Authorized official
Wendell T Carney
Fnp
6015138508
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