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

East Main Family Medical Clinic LLC

Organization Nurse Practitioner · NPI 1003300815

East Main Family Medical Clinic LLC is a Nurse Practitioner in Tupelo, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2018
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

1424 E Main St
Tupelo, MS 38804-2956
Phone: (662) 350-3550
Fax: (662) 842-3061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5024 Raymond Ave, Tupelo, MS 38801-8671 — (662) 432-0782

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R853214 (MS)

Record details

NPI number1003300815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Rodgers — Owner/Nurse Practitioner · (662) 350-3550
Other names Acute Care Family Medical Clinic Of Verona
NPI enumeratedJune 15, 2018
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address5024 Raymond Ave, Tupelo, MS 38801-8671

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