Organization
PREMIER HEALTH & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN MISHAEL CAMPBELL-SMITH FNP-C (OWNER)
(601) 304-2421
Entity
Organization
Contact information
Practice address
300 HIGHLAND BLVD STE B, NATCHEZ, MS 39120-4600
(601) 304-2421
(601) 446-6428
Mailing address
300 HIGHLAND BLVD STE B, NATCHEZ, MS 39120-4600
(601) 304-2421
(601) 446-6428
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
03/18/2022
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