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Organization

PRIMARY HEALTH SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NANCY ANN BUCKHEISTER ACNP (ADULT ACUTE CARE NURSE PRACTITIONER)
(228) 354-9505
Entity
Organization

Contact information

Practice address
10404 TUCKER RD, OCEAN SPRINGS, MS 39565-7922
(228) 354-9505
(228) 354-9575
Mailing address
PO BOX 6190, DIBERVILLE, MS 39540-6190
(228) 354-9505
(228) 354-9575

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
6705
MS
261QP2300X
Primary Care Clinic/Center
Primary
6705
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3630279
MS
Enumeration date
04/22/2011
Last updated
09/04/2020
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