| Vital Touch Direct Care, PLLC | |
|
2021 Elizabeth Chapman Dr Jackson MS 39212-3252 | |
| (601) 906-9680 | |
| Not Available |
| Full Name | Vital Touch Direct Care, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2021 Elizabeth Chapman Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Flora Denise Gray Haley (OWNER) |
| Authorized Official Contact | 6019069680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Touch Direct Care, PLLC Po Box 107 Raymond MS 39154-0107 Ph: (601) 906-9680 | Vital Touch Direct Care, PLLC 2021 Elizabeth Chapman Dr Jackson MS 39212-3252 Ph: (601) 906-9680 |
| NPI Number | 1497697874 |
|---|---|
| Provider Enumeration Date | 04/07/2026 |
| Last Update Date | 04/07/2026 |
| Certification Date | 04/07/2026 |
| Medicare PECOS PAC ID | 0648745430 |
|---|---|
| Medicare Enrollment ID | O20260409000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497697874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Flora Denise Gray Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124902606 PECOS PAC ID: 2860822012 Enrollment ID: I20260410000182 |
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