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

Line Street Medical, LLC

Organization Family Nurse Practitioner · NPI 1821560327

Line Street Medical, LLC is a Family Nurse Practitioner in Philadelphia, Mississippi. Registered with an NPI since 2018.

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

562 Line St S Ste 1
Philadelphia, MS 39350-2144
Phone: (601) 562-6363
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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

Record details

NPI number1821560327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leah Phillips — Nurse Practitioner · (601) 562-6363
NPI enumeratedDecember 20, 2018
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020
Mailing address562 Line St S Ste 1, Philadelphia, MS 39350-2144

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