Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Medical Clinic, LLC

Organization Family Nurse Practitioner · NPI 1487792032

Bethany Medical Clinic, LLC is a Family Nurse Practitioner in Cleveland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

548 E Rosemary Rd Ste B
Cleveland, MS 38732
Phone: (662) 846-5032
Fax: (662) 846-5034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R793654 (MS)

Record details

NPI number1487792032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricky Moore — Ins. Clerk · (662) 846-5032
NPI enumeratedFebruary 2, 2007
Last updated in NPPESMarch 9, 2010
Mailing addressPo Box 358, Cleveland, MS 38732-0358

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