Divinity Healthcare INC
NPI #1396567301 in West Point, Mississippi
Provider Information
- NPI Number
- 1396567301
- Entity Type
- Organization
- Organization Name
- Divinity Healthcare INC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 30, 2024
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 99 WINCHESTER DR UNIT K
- City
- West Point
- State
- Mississippi
- ZIP Code
- 39773-2083
- Phone
- (662) 848-3656
Authorized Official
- Name
- MRS. TRINITY SHARDA JOHNSON, FNP
- Title
- OWNER
- Phone
- (662) 848-3656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
| Nurse Practitioner - Family — Family |
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