Provider Demographics
NPI:1881457711
Name:US STAR NURSING
Entity type:Organization
Organization Name:US STAR NURSING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TARSHA
Authorized Official - Middle Name:CARTER
Authorized Official - Last Name:AMBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-304-2043
Mailing Address - Street 1:48 E WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-2861
Mailing Address - Country:US
Mailing Address - Phone:601-304-2043
Mailing Address - Fax:
Practice Address - Street 1:48 E WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-2861
Practice Address - Country:US
Practice Address - Phone:601-304-2043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:US STAR NURSING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-02
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty