Petal School District
Organization Active NPI Registered Nurse · Petal, MS
NPI 1356563605 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356563605
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R783831 (MS)
- Legal business name
- PETAL SCHOOL DISTRICT
- Practice address
- 400 Hillcrest Loop
Petal, MS 39465 - Phone
- (601) 584-7660
- NPI assigned
- May 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James Hutto
- Title
- Superintendent
- Phone
- (601) 545-3002
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Petal School District
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | R783831 | MS | Yes |
Addresses
Primary practice location
400 Hillcrest Loop
Petal, MS 39465
Mailing address
P.O Box 523
Petal, MS 39465
Phone (601) 545-3002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06985072 | Medicaid | MS |
Other providers in Petal, MS
- Petal High School
- Petal Middle School
- Petal Primary School
- Petal School Clinic
- Petal School District
- Petal School District
- Petal Upper Elementary School
- Petal Urgent Care LLC
- Pine Belt Dermatology and Skin Cancer Center
- Pine Belt Dermatopathology Lab, PA
All providers in Petal, MS · Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.