Organization
PARAMOUNT HEALTHCARE LLC
Active
Organization
PARAMOUNT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIREISLA DENAE KELLY NP (CHIEF EXECUTIVE OFFICER)
(601) 278-4933
Entity
Organization
Contact information
Practice address
819 BRIARFIELD RD, JACKSON, MS 39211-4116
(601) 278-4933
Mailing address
819 BRIARFIELD RD, JACKSON, MS 39211-4116
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/29/2016
Last updated
05/20/2026
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