Wade Clinic LLC
NPI #1225580046 in Calhoun City, Mississippi
Provider Information
- NPI Number
- 1225580046
- Entity Type
- Organization
- Organization Name
- Wade Clinic LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 27, 2016
- Last Updated
- Oct 27, 2016
Practice Location
- Address
- 206 E TAYLOR AVE
- City
- Calhoun City
- State
- Mississippi
- ZIP Code
- 38916
- Phone
- (662) 628-3838
Authorized Official
- Name
- JENNIFER E WADE, FNP-BC
- Title
- OWNER/PROVIDER
- Phone
- (662) 628-3838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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