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

Charleston Clinic

Organization Community Health Nurse Practitioner · NPI 1831329887

Charleston Clinic is a Community Health Nurse Practitioner in Charleston, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009

Practice location Address checks out

401 S Church St
Charleston, MS 38921-2257
Phone: (662) 647-5816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Nurse Practitioner (primary) Taxonomy 363LC1500X · Licence R865030 (MS)

Record details

NPI number1831329887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Bradham — Nurse Practitioner · (662) 647-5816
NPI enumeratedJuly 23, 2009
Last updated in NPPESJuly 6, 2011
Mailing addressP. O. Box 21, Charleston, MS 38921