Provider Demographics
NPI:1740059161
Name:HEALING HANDS HEALTHCARE
Entity type:Organization
Organization Name:HEALING HANDS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:SOPHIA
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:662-279-1056
Mailing Address - Street 1:304 S PARKWAY ST
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-5913
Mailing Address - Country:US
Mailing Address - Phone:662-279-1056
Mailing Address - Fax:
Practice Address - Street 1:304 S PARKWAY ST
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-5913
Practice Address - Country:US
Practice Address - Phone:662-279-1056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care