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Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Acute Care

Provider NPI: 1508186024

Organization Information:
Organization Name:  HEALTHY ME
Organization is not Subpart
Authorized Official:  LERESHA  GERARD  CEO/ADMINISTRATOR  662-226-4010

Practice Location:
Tel: 662-614-3031  Fax: --

Business Mailing Address:
PO BOX 186  GRENADA, MS 38902-0186 US
Tel: 662-226-4010  Fax: 662-226-4495

NPI Information:
NPI: 1508186024
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y364SA2100XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Acute Care

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 364SA2100X





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