Organization
ORTHO EXPRESS HOLDING COMPANY, LLC
Active
Parent organization
ORTHOXPRESS HOLDINGS, LLC
Other names
OrthoXpress of Southaven
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOXPRESS HOLDINGS, LLC
Authorized official
JENNIFER C BULLOCK (PRESIDENT)
(662) 534-2227
Entity
Organization
Contact information
Practice address
125 GOODMAN RD W STE D, SOUTHAVEN, MS 38671-9481
(662) 932-3560
(662) 534-2330
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/07/2019
Last updated
10/01/2025
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