Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLD TOWNE MEDICAL LLC
Active OrganizationOLD TOWNE MEDICAL LLC is a Family Nurse Practitioner organization located in OLIVE BRANCH, Mississippi. NPI 1013312172 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · OLIVE BRANCH, MS
Registration Details
- NPI Number
- 1013312172
- Provider Type
- Organization
- NPI Issued
- Oct 30, 2014 (11.778807664527 yrs)
- Last Updated
- Jul 30, 2019
- License
-
R644986 (MS)
Practice Information
- Address
-
9066 HIGHLAND STOLIVE BRANCH, MS, 386542307Browse MS providers · Browse ZIP 38654
- Phone
- 6628907717
- Fax
- 6628746038
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Organizations in OLIVE BRANCH, MS
| Name | NPI |
|---|---|
| LITTLE CLINIC OF MISSISSIPPI LLC | 1740699271 |
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.