| Rise And Shine Healthcare Llc | |
|
9431 Eastside Drive Ext Ste B Newton MS 39345-8072 | |
| (601) 481-4077 | |
| Not Available |
| Full Name | Rise And Shine Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9431 Eastside Drive Ext Ste B, Newton, Mississippi |
| Authorized Official Name and Position | Wendy Gressett (NURSE PRACTITIONER) |
| Authorized Official Contact | 6014814077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise And Shine Healthcare Llc Po Box 70 Chunky MS 39323-0070 Ph: (601) 481-4077 | Rise And Shine Healthcare Llc 9431 Eastside Drive Ext Ste B Newton MS 39345-8072 Ph: (601) 481-4077 |
| NPI Number | 1427715762 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/22/2021 |
| Medicare PECOS PAC ID | 3375933989 |
|---|---|
| Medicare Enrollment ID | O20211214000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427715762 | NPI | - | NPPES |
| 1689096505 | Other | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Wendy D Gressett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689096505 PECOS PAC ID: 6103049259 Enrollment ID: I20140519001718 |
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