| Blissful Nursing And Mental Health Services, Pc | |
|
8900 Ms Highway 15 Ackerman MS 39735-9644 | |
| (662) 387-7167 | |
| Not Available |
| Full Name | Blissful Nursing And Mental Health Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8900 Ms Highway 15, Ackerman, Mississippi |
| Authorized Official Name and Position | Yoshie Lilley (OWNER AND NURSE PRACTITIONER) |
| Authorized Official Contact | 6238771676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blissful Nursing And Mental Health Services, Pc Po Box 242 Ackerman MS 39735-0242 Ph: (662) 387-7167 | Blissful Nursing And Mental Health Services, Pc 8900 Ms Highway 15 Ackerman MS 39735-9644 Ph: (662) 387-7167 |
| NPI Number | 1841864196 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Medicare PECOS PAC ID | 9537566500 |
|---|---|
| Medicare Enrollment ID | O20210920000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841864196 | NPI | - | NPPES |
| 06681838 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Yoshie S Lilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528475217 PECOS PAC ID: 7911222047 Enrollment ID: I20150213000346 |
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