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

Raven S Eldridge

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013703016

Raven S Eldridge is a Student in an Organized Health Care Education/Training Program in Tupelo, Mississippi. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1665 S Green St
Tupelo, MS 38804-6556
Phone: (662) 377-2189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1013703016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address1665 S Green St, Tupelo, MS 38804-6556

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