| Family First Healthcare | |
|
147 Shenandoah Dr Florence MS 39073-9713 | |
| (601) 502-7160 | |
| Not Available |
| Full Name | Family First Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 147 Shenandoah Dr, Florence, Mississippi |
| Authorized Official Name and Position | Elizabeth R Mccord (NURSE PRACTITIONER) |
| Authorized Official Contact | 6015027160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Healthcare 147 Shenandoah Dr Florence MS 39073-9713 Ph: (601) 502-7160 | Family First Healthcare 147 Shenandoah Dr Florence MS 39073-9713 Ph: (601) 502-7160 |
| NPI Number | 1649923707 |
|---|---|
| Provider Enumeration Date | 01/30/2022 |
| Last Update Date | 01/30/2022 |
| Certification Date | 01/30/2022 |
| Medicare PECOS PAC ID | 4183089444 |
|---|---|
| Medicare Enrollment ID | O20230420002845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649923707 | NPI | - | NPPES |
| 03288269 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Elizabeth Mccord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194179226 PECOS PAC ID: 2668754607 Enrollment ID: I20170126001676 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124789508 PECOS PAC ID: 0648636928 Enrollment ID: I20230510003475 |
| Provider Name | Shirley Marie Boothe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841435708 PECOS PAC ID: 0143708339 Enrollment ID: I20260129002090 |
| Provider Name | Amy Catherine Hooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386518603 PECOS PAC ID: 0941788962 Enrollment ID: I20260131000905 |
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