Picayune Rural Health Clinic in Picayune - Nurse Practitioner
Picayune Rural Health Clinic - NPI 1700983913
Picayune Rural Health Clinic is a Nurse Practitioner in Picayune, Mississippi. Picayune Rural Health Clinic practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Picayune Rural Health Clinic is 1700983913. The last update date is 2009-08-18.
Picayune Rural Health Clinic's current location address is 317 N Main St, Picayune, Mississippi. You can contact this provider via phone number 6017995577 and fax number 6017995444. The mailing address for Picayune Rural Health Clinic is 317 N Main St, Picayune, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Picayune Rural Health Clinic |
|---|---|
| Address | 317 N Main St, Picayune, Mississippi |
| Phone Number | 6017995577 |
| Fax Number | 6017995444 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hodge Kay Krista |
| Credentials | FNP |
| Telephone Number | 6017995577 |
NPI Number Detail
| NPI Number | 1700983913 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2009-08-18 |
Provider Mailing Address Detail
| Address | 317 N Main St |
|---|---|
| City | Picayune |
| State | Mississippi (MS) |
| Post Code | 394663313 |
| Phone Number | 6017995577 |
| Fax Number | 6017995444 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R767181 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9045721 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Picayune Rural Health Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Picayune Rural Health Clinic has been assigned the NPI (National Provider Identifier) 1700983913. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Picayune Rural Health Clinic?
The Picayune Rural Health Clinic is physically situated at 317 N Main St, in the city of Picayune, state of MS, with the postal code 394663313.
What is Picayune Rural Health Clinic's area of expertise and its corresponding taxonomy classification?
The Picayune Rural Health Clinic's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Picayune Rural Health Clinic receive the assignment of its 1700983913 from the Centers for Medicare & Medicaid Services?
The Picayune Rural Health Clinic was issued its 1700983913 by the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the information regarding Picayune Rural Health Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Picayune Rural Health Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-08-18.