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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAST MAIN FAMILY MEDICAL CLINIC LLC

Active Organization

EAST MAIN FAMILY MEDICAL CLINIC LLC is a Nurse Practitioner organization located in TUPELO, Mississippi. NPI 1003300815 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · TUPELO, MS

Registration Details

NPI Number
1003300815
Provider Type
Organization
NPI Issued
Jun 15, 2018 (8.1758329379987 yrs)
Last Updated
Sep 8, 2020
License
R853214 (MS)

Practice Information

Address
1424 E MAIN ST
TUPELO, MS, 388042956
Browse MS providers · Browse ZIP 38804
Phone
6623503550
Fax
6628423061
Primary Specialty
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.