Organization
UNIVERSITY NURSING ASSOCIATES
Active
Other names
Mercy Delta Express
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM HOOVER PH.D (MANAGING MEMBER)
(601) 984-6270
Entity
Organization
Contact information
Practice address
132 COURT STREET, MAYERSVILLE, MS 39113
(601) 832-2716
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6270
(601) 815-4119
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04323796
—
MS
Enumeration date
02/03/2009
Last updated
05/21/2009
Update your record
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