Premier Health & Wellness Clinic LLC
NPI #1558764464 in Natchez, Mississippi
Provider Information
- NPI Number
- 1558764464
- Entity Type
- Organization
- Organization Name
- Premier Health & Wellness Clinic LLC
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 6, 2014
- Last Updated
- Mar 9, 2015
Practice Location
- Address
- 300 HIGHLAND BLVD
- Address 2
- SUITE B
- City
- Natchez
- State
- Mississippi
- ZIP Code
- 39120-4600
- Phone
- (601) 304-2421
Authorized Official
- Name
- ANGIE O WALLER, FNP
- Title
- FNP
- Phone
- (601) 304-2421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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