Organization
VITA TEMPUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRINCE S MCCLINTON NP (CO-OWNER/FNP)
(769) 348-3330
Entity
Organization
Contact information
Practice address
134 FAIRMONT ST STE C, CLINTON, MS 39056-4739
(769) 348-3330
(769) 348-3351
Mailing address
134 FAIRMONT ST STE C, CLINTON, MS 39056-4739
(769) 348-3330
(769) 348-3351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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