| Np Healthcare Clinic | |
|
559a Highway 1 N Greenville MS 38701-3136 | |
| (662) 702-5159 | |
| (662) 702-5164 |
| Full Name | Np Healthcare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 559a Highway 1 N, Greenville, Mississippi |
| Authorized Official Name and Position | Alexis Cross (NURSE PRACTITIONER) |
| Authorized Official Contact | 6623793648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Np Healthcare Clinic Po Box 5164 Greenville MS 38704-5164 Ph: (662) 379-3648 | Np Healthcare Clinic 559a Highway 1 N Greenville MS 38701-3136 Ph: (662) 702-5159 |
| NPI Number | 1063909539 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 11/07/2018 |
| Medicare PECOS PAC ID | 2567710940 |
|---|---|
| Medicare Enrollment ID | O20180801000868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063909539 | NPI | - | NPPES |
| 06233378 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alexis Cross-montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730552787 PECOS PAC ID: 8224334420 Enrollment ID: I20160315001177 |
| Provider Name | Yakitta Landrum-lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740761956 PECOS PAC ID: 5991040073 Enrollment ID: I20181218001162 |
| Provider Name | Hadonica Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336709872 PECOS PAC ID: 7416285267 Enrollment ID: I20190819001359 |
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