Old Towne Medical LLC
Old Towne Medical LLC is a Family Nurse Practitioner in Olive Branch, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.
- Licensed in
- MS
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9066 Highland StOlive Branch, MS 38654-2307
Phone: (662) 890-7717
Fax: (662) 874-6038
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence R644986 (MS) |
|---|
Record details
| NPI number | 1013312172 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Brame — Owner · (901) 489-6595 |
| Other names | Old Towne Medical; Old Towne Medical |
| NPI enumerated | October 30, 2014 |
| Last updated in NPPES | July 30, 2019 |
| Mailing address | 9066 Highland St, Olive Branch, MS 38654-2307 |
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