Organization
INNOVATIVE HEALTH SOLUTIONS LLC
Active
Other names
Innovative Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER O SPENCE (CO-OWNER)
(601) 916-6749
Entity
Organization
Contact information
Practice address
1018 SIXTH AVE, SUITE A, PICAYUNE, MS 39466-3837
(601) 799-4044
(601) 799-4045
Mailing address
1018 SIXTH AVE, SUITE A, PICAYUNE, MS 39466-3837
(601) 799-4044
(601) 799-4045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R868356
MS
363LF0000X
Family Nurse Practitioner
R876364
MS
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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