Provider Demographics
NPI:1619117793
Name:CLEVELAND SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CLEVELAND SCHOOL DISTRICT
Other - Org Name:NAILOR ELEMENTARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SCHOOL NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CATHARYNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, BC
Authorized Official - Phone:662-843-4528
Mailing Address - Street 1:600 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-3828
Mailing Address - Country:US
Mailing Address - Phone:662-843-4528
Mailing Address - Fax:662-843-2293
Practice Address - Street 1:600 CROSS ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-3828
Practice Address - Country:US
Practice Address - Phone:662-843-4528
Practice Address - Fax:662-843-2293
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEVELAND SCHOOL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR747888390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty