Organization
EMMANUEL HEALTH SERVICES
Active
Other names
Emmanuel Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA KAY PITTMAN FNP (CEO)
(601) 209-5133
Entity
Organization
Contact information
Practice address
637 HIGHWAY 51 NORTH, SUITE E, RIDGELAND, MS 39157
(601) 209-5133
Mailing address
PO BOX 2056, RIDGELAND, MS 39158-2056
(601) 605-8820
(601) 605-8920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R845316
MS
Other
Enumeration date
04/27/2012
Last updated
07/09/2019
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