Organization Active NPI

Resolute Healthcare

  • Primary Care Clinic/Center
  • Diberville, MS
National Provider Identifier
1447803416
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RESOLUTE HEALTHCARE
Practice address
4347 W Gay Rd
Diberville, MS 39540-3412
Phone
(228) 229-7989
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Authorized official

Name
Mrs. Jillian M Ladner, NP
Title
Nurse Practitioner/Owner
Phone
(228) 229-7989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4347 W Gay Rd
Diberville, MS 39540-3412

Mailing address

PO Box 6940
Diberville, MS 39540-6901
Phone (228) 243-7711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563667200000",
    "number": "1447803416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6940",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395406901",
            "telephone_number": "228-243-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 W GAY RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403412",
            "telephone_number": "228-229-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-21",
        "status": "A",
        "authorized_official_last_name": "LADNER",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "228-229-7989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diberville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.