# KIDNEY FOCUSED CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003418997
- **Authorized official:** MS. JACQUELINE DIANE BOYD NURSE PRACTITIONER (OWNER)
- **Authorized official phone:** (601) 665-4429

## Contact information

- **Practice address:** 2633 RIDGEWOOD RD STE 105, JACKSON, MS 39216-4962
- **Practice address phone:** (601) 665-4429
- **Practice address fax:** (601) 665-4429
- **Mailing address:** 702 PECAN CT, BRANDON, MS 39042-6012
- **Mailing address phone:** (662) 719-9120
- **Mailing address fax:** (601) 665-4429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2020
- **Last updated:** 04/22/2021