Faith Family Clinic, Llc

NPI 1831288281 - Clinic/Center - 261QP2300X

NPI Details
NPI 1831288281
Enumeration Date 10/12/2006
Last Updated 10/14/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KELLY BERNICE KELLY
Position FAMILY NURSE PRACTITIONER/CO-OWNER
Phone (662) 728-0162
Fax
Practice Location
2209 N 2ND ST
BOONEVILLE MS, 38829-7734, US
Phone (662) 728-0162
Fax
Business Location
2209 N 2ND ST
BOONEVILLE MS, 38829-7734, US
Phone (662) 728-0162
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Faith Family Clinic, Llc NPI is 1831288281, taxonomy code is 261QP2300X Faith Family Clinic, Llc physically located at 2209 N 2nd St, Booneville MS, 38829-7734. NPI Number 1033115704 has the healthcare provider type.

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1831288281 NPI number is provided on an as is basis without warranty of any kind. 1831288281 is maintained by the National Plan & Provider Enumeration System. The contents of Faith Family Clinic, Llc are for informational purposes only.