NPI Registry.org

Kuntry Nurse, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
KUNTRY NURSE, LLC15480479702024-11-10

The organization Kuntry Nurse, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1548047970. Registration indicates Kuntry Nurse, Llc is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

Other Names:
Entity TypeOrganization
Provider OrganizationKUNTRY NURSE, LLC
Other Provider OrganizationKUNTRY NURSE TELEHEALTH
Practice Office Address232 MARKET STREET
SUITE 259
FLOWOOD, MS US
Practice Office Telephone6013109784
Mailing Address1252 WEST GOVERNMENT STREET
P.O. BOX 2336
BRANDON, MS 390432336 US
Business Telephone6013109784
Authorized OfficialDAMETRA MANGUM, CHIEF EXECUTIVE
6013109784
HPT Codes
CodePractice
License No
State
363LF0000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Family

All Other Specialties & Provider Types

Nurse Practitioner Family
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
193400000X SINGGroup Code
OPI Codes
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