Lighthouse Healthcare Nanci W Parish NP, LLC

Organization Active NPI Family Nurse Practitioner · Carriere, MS

NPI 1053544155 · NPPES record last updated Jul 21, 2014

Key facts

NPI
1053544155
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
R619442 (MS)
Legal business name
LIGHTHOUSE HEALTHCARE NANCI W PARISH NP, LLC
Practice address
6 Siebenkittel Cir
Suite E
Carriere, MS 39426-8777
Phone
(601) 798-2005
Fax
(601) 798-2052
NPI assigned
Aug 24, 2009
Organization subpart
No

Authorized official

Name
Nanci W Parish, NP
Title
Owner
Phone
(601) 798-2005

National Provider Directory

Locations

6 Siebenkittel Cir
Ste E
Carriere, MS 39426
Phone (601) 798-2005

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X R619442 MS Yes

Addresses

Primary practice location

6 Siebenkittel Cir
Suite E
Carriere, MS 39426-8777

Mailing address

PO Box 419
Picayune, MS 39466-0419
Phone (601) 798-2005

Other identifiers

IdentifierTypeStateIssuer
1053544155OtherMSGROUP NPI
00117683MedicaidMS
01808531OtherGROUP MEDICAID
1245348689OtherMSINDIVIDUAL NPI

Other providers in Carriere, MS

All providers in Carriere, MS · Family Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.