Organization
LIGHTHOUSE HEALTHCARE NANCI W PARISH NP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCI W PARISH NP (OWNER)
(601) 798-2005
Entity
Organization
Contact information
Practice address
6 SIEBENKITTEL CIR, SUITE E, CARRIERE, MS 39426-8777
(601) 798-2005
(601) 798-2052
Mailing address
PO BOX 419, PICAYUNE, MS 39466-0419
(601) 798-2005
(877) 635-7892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R619442
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117683
—
MS
01
—
01808531
GROUP MEDICAID
—
01
—
1053544155
GROUP NPI
MS
01
—
1245348689
INDIVIDUAL NPI
MS
Enumeration date
08/24/2009
Last updated
07/21/2014
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