Organization
ICP MISSISSIPPI ACO BILLING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BROWN (SECRETARY)
(502) 394-2100
Entity
Organization
Contact information
Practice address
232 MARKET ST, FLOWOOD, MS 39232-3339
(800) 807-6555
(855) 316-2999
Mailing address
805 N WHITTINGTON PKWY STE 400, LOUISVILLE, KY 40222-7102
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
11/19/2025
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