Organization
UPSCALE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAKEYA GETER LPN (OWNER)
(662) 671-4610
Entity
Organization
Contact information
Practice address
5905 AIRWAYS BLVD APT 1604, SOUTHAVEN, MS 38671-1853
(662) 671-4610
Mailing address
5905 AIRWAYS BLVD APT 1604, SOUTHAVEN, MS 38671-1853
(662) 671-4610
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333889
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333889
LPN LICENSE
MS
Enumeration date
07/07/2017
Last updated
07/21/2022
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