Organization Name: | PRIMARY SOLUTIONS FAMILY HEALTH CENTER |
NPI Number: | 1528210986 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTY L ROBINSON (NURSE PRACTITIONER) |
Mailing Address: | 1008 Calhoun Ave Yazoo City |
State: | MS US |
Postal Code: | 391942938 |
Phone Number: | 6627518847 |
Fax Number: | 6627518848 |
NPI Enumeration Date: | 10/16/2008 |
NPI Last Update Date: | 10/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R866077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |