# PREMIER HEALTH & WELLNESS CLINIC

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

## Provider details

- **NPI number:** 1366108805
- **Authorized official:** RAVEN MISHAEL CAMPBELL-SMITH FNP-C (OWNER)
- **Authorized official phone:** (601) 304-2421

## Contact information

- **Practice address:** 300 HIGHLAND BLVD STE B, NATCHEZ, MS 39120-4600
- **Practice address phone:** (601) 304-2421
- **Practice address fax:** (601) 446-6428
- **Mailing address:** 300 HIGHLAND BLVD STE B, NATCHEZ, MS 39120-4600
- **Mailing address phone:** (601) 304-2421
- **Mailing address fax:** (601) 446-6428

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 03/18/2022