Provider Demographics
NPI:1356335756
Name:NURSEMED LLC
Entity type:Organization
Organization Name:NURSEMED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:662-837-1534
Mailing Address - Street 1:716 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38663-2909
Mailing Address - Country:US
Mailing Address - Phone:662-837-1534
Mailing Address - Fax:662-837-3274
Practice Address - Street 1:716 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:MS
Practice Address - Zip Code:38663-2909
Practice Address - Country:US
Practice Address - Phone:662-837-1534
Practice Address - Fax:662-837-3274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR622176261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
258972OtherPARTA - RURAL HEALTH
253865OtherPARTA -RURAL HEALTH
MS09013704Medicaid
MS09013704Medicaid