Organization
NP HEALTHCARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS CROSS (NURSE PRACTITIONER)
(662) 379-3648
Entity
Organization
Contact information
Practice address
559A HIGHWAY 1 N, GREENVILLE, MS 38701-3136
(662) 702-5159
(662) 702-5164
Mailing address
PO BOX 5164, GREENVILLE, MS 38704-5164
(662) 379-3648
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06233378
—
MS
Enumeration date
04/19/2018
Last updated
11/07/2018
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