Organization
THE PRUDENT NURSE
Active
Other names
The Nurse's Station
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL TUCKER RN (MANAGING PARTNER)
(601) 573-7833
Entity
Organization
Contact information
Practice address
35 VILLAGE GREEN CIR, JACKSON, MS 39211-2931
(601) 573-7833
Mailing address
35 VILLAGE GREEN CIR, JACKSON, MS 39211-2931
(601) 573-7833
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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