| Organization Name: | HEALTHY ME |
| NPI Number: | 1508186024 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LERESHA GERARD (CEO/ADMINISTRATOR) |
| Mailing Address: | 104 Davis St Coffeeville |
| State: | MS US |
| Postal Code: | 389229273 |
| Phone Number: | 6626143031 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2010 |
| NPI Last Update Date: | 06/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |