Organization
LITTLE CLINIC OF MISSISSIPPI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SHELLY (VP & GENERAL MANAGER)
(615) 425-4200
Entity
Organization
Contact information
Practice address
7427 GOODMAN RD, OLIVE BRANCH, MS 38654
(615) 425-4200
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2014
Last updated
10/22/2025
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