| Organization Name: | TAKE CARE HEALTH MISSISSIPPI, P. C. |
| NPI Number: | 1033379870 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH HEGG (ASSISTANT SECRETARY) |
| Mailing Address: | 1501 Goodman Rd W Horn Lake |
| State: | MS US |
| Postal Code: | 386371400 |
| Phone Number: | 8559254733 |
| Fax Number: | 2177092345 |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 12/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |