Organization Name: | TRUTH WELLNESS CENTER, PLLC |
NPI Number: | 1023477395 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY ELIZABETH STRONG (OWNER/NURSE PRACTITIONER) |
Mailing Address: | 252 Katherine Dr Suite A Flowood |
State: | MS US |
Postal Code: | 392329024 |
Phone Number: | 6018825801 |
Fax Number: | 6018825794 |
NPI Enumeration Date: | 02/16/2016 |
NPI Last Update Date: | 05/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R881742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |