Organization Name: | BENNDALE ELEMENTARY SCHOOL |
NPI Number: | 1376973057 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JODI THERESA SUMRALL (SCHOOL NURSE) |
Mailing Address: | 5204 Highway 26 W Lucedale |
State: | MS US |
Postal Code: | 394522383 |
Phone Number: | 6017666341 |
Fax Number: | 6019452938 |
NPI Enumeration Date: | 11/18/2013 |
NPI Last Update Date: | 11/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | R872149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |