Nulife Healthcare, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NULIFE HEALTHCARE, LLC

Practice address

120 Holt Collier Dr Ste C
Vicksburg, MS 39183-4408

Phone

(601) 738-5565

Fax

(601) 738-5544

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Stacy Briggs, PMHNP BC

Title

Nurse Practitioner

Phone

(601) 738-5565

Specialties & licenses 1

Addresses

Other names 1

• NuLife Healthcare, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Flowers, PMHNP-BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Vicksburg, MS
  • NPI 1629272596
  NPD

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1245815844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOLT COLLIER DR STE C",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391834408",
            "telephone_number": "601-738-5565",
            "fax_number": "601-738-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOLT COLLIER DR STE C",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391834408",
            "telephone_number": "601-738-5565",
            "fax_number": "601-738-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-738-5565",
        "authorized_official_credential": "PMHNP BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuLife Healthcare, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anita Nicholson
• Katherine C. Nordal, PH.D.
• Lemont Terrance Norris, DDS
• Christopher Noye
• Nulife Health Care LLC
• Fredrick O'Quinn
• Odyssey Adult Day Services
• Oldenburg Family Dentistry LLC
• Savannah Chandler Oldenburg, DMD
• Takaila Oliphant

• Community/Behavioral Health Agency in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.