Provider Demographics
NPI:1154689081
Name:ON HAND MEDICAL PROFESSIONALS
Entity Type:Organization
Organization Name:ON HAND MEDICAL PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MONQUIE
Authorized Official - Last Name:TOWNSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MHA
Authorized Official - Phone:601-832-8659
Mailing Address - Street 1:712 COLONIAL CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-3208
Mailing Address - Country:US
Mailing Address - Phone:601-832-8659
Mailing Address - Fax:769-216-2563
Practice Address - Street 1:712 COLONIAL CIR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-3208
Practice Address - Country:US
Practice Address - Phone:601-832-8659
Practice Address - Fax:769-216-2563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-28
Last Update Date:2012-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR872478251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care