Organization
ULTIMATE CARE MEDICAL CLINIC PROFESSIONAL CORPORATION
Active
Other names
Ultimate Care Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RUSHAUNDA NASH FNP (OWNER)
(662) 694-2420
Entity
Organization
Contact information
Practice address
900 STARK RD, STARKVILLE, MS 39759-3613
(662) 694-2420
Mailing address
900 STARK RD, STARKVILLE, MS 39759-3613
(662) 694-2420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
—
Other
Enumeration date
06/30/2022
Last updated
03/08/2023
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