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 1285072058

East Main Family Medical Clinic LLC is a Nurse Practitioner in Tupelo, Mississippi. Works from 2 locations. Registered with an NPI since 2013.

In the registry since
2013
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) 842-4877
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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

Record details

NPI number1285072058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Rodgers — Owner/Nurse Practitioner · (662) 350-3550
NPI enumeratedJune 13, 2013
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address1424 E Main St, Tupelo, MS 38804-2956

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