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

Winston Medical Clinic Fair Elementary School

Organization Family Nurse Practitioner · NPI 1023474780

Winston Medical Clinic Fair Elementary School is a Family Nurse Practitioner in Louisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016

Practice location Address checks out

301 N Columbus Ave
Louisville, MS 39339-2315
Phone: (662) 446-1972
Fax: (662) 446-1039
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R860217 (MS)

Record details

NPI number1023474780
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWinston Medical Clinic LLC
Authorized official Debra Fryery — Director Of Clinic Operations · (662) 446-1972
Other names Winston Medical Clinic Llc
NPI enumeratedJanuary 12, 2016
Last updated in NPPESJanuary 12, 2016
Mailing addressPo Box 470, Louisville, MS 39339-0470

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