Organization
NPS ON CALL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA SIMMONS NURSE PRACTITIONER (CEO)
(601) 724-9252
Entity
Organization
Contact information
Practice address
100 SOUTHPOINTE DR, BYRAM, MS 39272-5565
(601) 724-9252
Mailing address
608 BAUXITE CV, BRANDON, MS 39047-6508
(601) 724-9252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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