360 Healthcare Clinic
NPI #1952919953 in Pearl, Mississippi
Provider Information
- NPI Number
- 1952919953
- Entity Type
- Organization
- Organization Name
- 360 Healthcare Clinic
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 16, 2020
- Last Updated
- Jul 16, 2020
Practice Location
- Address
- 202 SAINT PAUL ST
- City
- Pearl
- State
- Mississippi
- ZIP Code
- 39208-5134
- Phone
- (769) 572-7819
Authorized Official
- Name
- DENETTA D PARKER, NP-C
- Title
- OWNER
- Phone
- (769) 572-7819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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