Whole Family Care Pllc | |
10404 Tucker Rd Vancleave MS 39565-7922 | |
(228) 354-9505 | |
Not Available |
Full Name | Whole Family Care Pllc |
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Speciality | Family Medicine |
Location | 10404 Tucker Rd, Vancleave, Mississippi |
Authorized Official Name and Position | Jessie Lindsey (NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 7703560116 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Whole Family Care Pllc 8912 Seaman Rd Vancleave MS 39565-9286 Ph: () - | Whole Family Care Pllc 10404 Tucker Rd Vancleave MS 39565-7922 Ph: (228) 354-9505 |
NPI Number | 1417730474 |
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Provider Enumeration Date | 08/15/2023 |
Last Update Date | 09/01/2023 |
Medicare PECOS PAC ID | 7719333079 |
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Medicare Enrollment ID | O20231024001492 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417730474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jessie Lindsey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265884175 PECOS PAC ID: 1052696986 Enrollment ID: I20191226000307 |
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