EMMANUEL HEALTH SERVICES NPI 1407114432

NPI Information

  • NPI: 1407114432
  • Provider Name: EMMANUEL HEALTH SERVICES
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: EMMANUEL MEDICAL CLINIC
  • Address: 637 HIGHWAY 51 NORTH
    SUITE E
    RIDGELAND, MS
    ZIP 39157
  • Phone: (601) 209-5133

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NPI Details

EMMANUEL HEALTH SERVICES is a family nurse practitioner in Ridgeland, MS. EMMANUEL HEALTH SERVICES NPI is 1407114432. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Emmanuel Medical Clinic.

The provider's business location address is:

637 HIGHWAY 51 NORTH
SUITE E
RIDGELAND, MS
ZIP 39157
Phone: (601) 209-5133

The provider's authorized official is Donna Kay Pittman .
The authorized official title is Ceo and has the following contact phone number (601) 209-5133.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 7/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR845316MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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