Organization
KIDS BRIGHT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WHIDDON (NP/OWNER)
(601) 330-9099
Entity
Organization
Contact information
Practice address
4881 HIGHWAY 589, SUMRALL, MS 39482
(601) 336-9099
Mailing address
PO BOX 566, SUMRALL, MS 39482-0566
(601) 336-9099
(601) 336-9099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
04/25/2025
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