Organization
INTEGRATED CARE PROFESSIONALS OF MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY THOMASON (AUTHORIZED OFFICIAL)
(855) 498-6767
Entity
Organization
Contact information
Practice address
100 HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-6082
(855) 498-6767
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(855) 498-6767
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
06/13/2019
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