Organization
DIVINITY HEALTHCARE INC
Active
Other names
DIVINITY HEALTHCARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRINITY SHARDA JOHNSON FNP (OWNER)
(662) 848-3656
Entity
Organization
Contact information
Practice address
99 WINCHESTER DR UNIT K, WEST POINT, MS 39773-2083
(662) 848-3656
Mailing address
99 WINCHESTER DR UNIT K, WEST POINT, MS 39773-2083
(662) 848-3656
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
04/07/2025
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