Organization
WADE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER E WADE FNP-BC (OWNER/PROVIDER)
(662) 628-3838
Entity
Organization
Contact information
Practice address
206 E TAYLOR AVE, CALHOUN CITY, MS 38916
(662) 628-3838
(662) 628-3800
Mailing address
PO BOX 1452, CALHOUN CITY, MS 38916-1452
(662) 628-3838
(662) 628-3800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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