| NP Care Anywhere LLC | |
|
590 Springridge Rd Clinton MS 39056-5606 | |
| (601) 488-8101 | |
| (866) 499-2129 |
| Full Name | NP Care Anywhere LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 590 Springridge Rd, Clinton, Mississippi |
| Authorized Official Name and Position | Kimyuana Dorris (OWNER) |
| Authorized Official Contact | 6014888101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| NP Care Anywhere LLC 590 Springridge Rd Clinton MS 39056-5606 Ph: (601) 488-8101 | NP Care Anywhere LLC 590 Springridge Rd Clinton MS 39056-5606 Ph: (601) 488-8101 |
| NPI Number | 1609718915 |
|---|---|
| Provider Enumeration Date | 04/07/2026 |
| Last Update Date | 04/07/2026 |
| Certification Date | 04/07/2026 |
| Medicare PECOS PAC ID | 7719458033 |
|---|---|
| Medicare Enrollment ID | O20260608003525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609718915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | () | Primary |
| Provider Name | Kimyuana Jackson Dorris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184222374 PECOS PAC ID: 0547783318 Enrollment ID: I20250402001695 |
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