East-End Family Medical Clinic, LLC
NPI #1780450619 in Cleveland, Mississippi
Provider Information
- NPI Number
- 1780450619
- Entity Type
- Organization
- Organization Name
- East-End Family Medical Clinic, LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Dec 1, 2023
- Last Updated
- Jan 17, 2024
Practice Location
- Address
- 140 NORTH ST
- City
- Cleveland
- State
- Mississippi
- ZIP Code
- 38732-2744
- Phone
- (662) 545-4674
Authorized Official
- Name
- DR. CASSANDRA LATASHA SHEPARD, DNP, FNP-BC, COHC
- Title
- CO-OWNER/FAMILY NURSE PRACTITIONER
- Phone
- (662) 721-8036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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