Provider Demographics
NPI:1689057549
Name:HEALTHKEY WELLNESS SOLUTIONS
Entity Type:Organization
Organization Name:HEALTHKEY WELLNESS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRETA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KEYS
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MSN, FNP-BC
Authorized Official - Phone:601-455-8881
Mailing Address - Street 1:1132 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MS
Mailing Address - Zip Code:39654-7681
Mailing Address - Country:US
Mailing Address - Phone:601-455-8881
Mailing Address - Fax:
Practice Address - Street 1:56 SPRING HILL RD
Practice Address - Street 2:
Practice Address - City:SILVER CREEK
Practice Address - State:MS
Practice Address - Zip Code:39663-5201
Practice Address - Country:US
Practice Address - Phone:601-455-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR843927261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service