Organization Name: | HEALTH CARE PLUS |
NPI Number: | 1386949501 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONJA G COLE (CFNP) |
Mailing Address: | 305 N 2nd St Booneville |
State: | MS US |
Postal Code: | 388292029 |
Phone Number: | 6627207970 |
Fax Number: | 6627207967 |
NPI Enumeration Date: | 01/19/2011 |
NPI Last Update Date: | 01/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | R850478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |