Mia Robernette Tait, FNP-C | |
215 Katherine Dr Ste A, Flowood, MS 39232-9588 | |
(601) 665-4162 | |
(888) 398-1151 |
Full Name | Mia Robernette Tait |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 215 Katherine Dr Ste A, Flowood, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376193094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 864476 (Mississippi) | Primary |
Entity Name | Mdb Behavioral Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
Entity Name | Truhealth, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20200923002569 |
Mailing Address | Practice Location Address |
---|---|
Mia Robernette Tait, FNP-C 14601 Constitution Rd, Moss Point, MS 39562-6375 Ph: (251) 776-2015 | Mia Robernette Tait, FNP-C 215 Katherine Dr Ste A, Flowood, MS 39232-9588 Ph: (601) 665-4162 |
Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232 Phone: 601-939-1808 Fax: 601-939-1808 | |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 | |
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 | |
Jane Denton Desper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 | |
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740 | |
Salina M Loggins, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Katherine Dr, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 |