Premier Family and Urgent Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PREMIER FAMILY AND URGENT CARE

Practice address

2394 McCullough Blvd
Belden, MS 38826-9579

Phone

(622) 053-0236

Fax

(844) 465-9102

NPI assigned

Feb 25, 2019

Last updated

Aug 31, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Hicks-Robertson, FNPNPI 1306211164

Title

Owner

Phone

(662) 840-4577

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica N Hicks-Robertson, FNP

  • Family Nurse Practitioner
  • Mooreville, MS
  • NPI 1306211164
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1104383389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 MCCULLOUGH BLVD",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269579",
            "telephone_number": "662-269-1774",
            "fax_number": "844-465-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2394 MCCULLOUGH BLVD",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269579",
            "telephone_number": "622-053-0236",
            "fax_number": "844-465-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY AND URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "HICKS-ROBERTSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-840-4577",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Belden, MS
• Providers in Belden, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.