Provider Demographics
NPI:1710855028
Name:MIND-BODY CONNECTION, LLC
Entity type:Organization
Organization Name:MIND-BODY CONNECTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KARMESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:AGPCNP-BC
Authorized Official - Phone:662-351-4225
Mailing Address - Street 1:PO BOX 814
Mailing Address - Street 2:
Mailing Address - City:LAMBERT
Mailing Address - State:MS
Mailing Address - Zip Code:38643-0814
Mailing Address - Country:US
Mailing Address - Phone:662-351-4225
Mailing Address - Fax:662-351-4225
Practice Address - Street 1:716 DARBY AVE
Practice Address - Street 2:
Practice Address - City:LAMBERT
Practice Address - State:MS
Practice Address - Zip Code:38643
Practice Address - Country:US
Practice Address - Phone:662-351-4225
Practice Address - Fax:662-351-4225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty