| Nulife Healthcare, Llc | |
|
120 Holt Collier Dr Ste C Vicksburg MS 39183-4408 | |
| (601) 738-5565 | |
| (601) 738-5544 |
| Full Name | Nulife Healthcare, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 Holt Collier Dr Ste C, Vicksburg, Mississippi |
| Authorized Official Name and Position | Stacy Briggs (NURSE PRACTITIONER) |
| Authorized Official Contact | 6017385565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nulife Healthcare, Llc 120 Holt Collier Dr Ste C Vicksburg MS 39183-4408 Ph: (601) 738-5565 | Nulife Healthcare, Llc 120 Holt Collier Dr Ste C Vicksburg MS 39183-4408 Ph: (601) 738-5565 |
| NPI Number | 1245815844 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245815844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Nulife Health Care Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 Holt Collier Dr Ste C, Vicksburg, MS 39183 Phone: 601-738-5565 Fax: 601-738-5544 |