Provider Demographics
NPI:1952599862
Name:NUTRITION PLUS,INC
Entity Type:Organization
Organization Name:NUTRITION PLUS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:W
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RD
Authorized Official - Phone:601-792-9175
Mailing Address - Street 1:729 MAPP TURNER RD
Mailing Address - Street 2:
Mailing Address - City:OAK VALE
Mailing Address - State:MS
Mailing Address - Zip Code:39656-7042
Mailing Address - Country:US
Mailing Address - Phone:601-792-9175
Mailing Address - Fax:601-792-9175
Practice Address - Street 1:729 MAPP TURNER RD
Practice Address - Street 2:
Practice Address - City:OAK VALE
Practice Address - State:MS
Practice Address - Zip Code:39656-7042
Practice Address - Country:US
Practice Address - Phone:601-792-9175
Practice Address - Fax:601-792-9175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSDO365251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable