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Organization
INTEGRATED CARE PROFESSIONALS OF MISSISSIPPI, LLC
Active
Organization
INTEGRATED CARE PROFESSIONALS OF MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY THOMASON (AUTHORIZED OFFICIAL)
(855) 498-6767
Entity
Organization
Contact information
Practice address
100 HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-6082
(855) 498-6767
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(855) 498-6767
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
06/13/2019
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