Nita Gean Ward
Individual provider Active NPI Attendant Care Provider · Pattison, MS
NPI 1487200325 · NPPES record last updated Aug 19, 2021
Key facts
- NPI
- 1487200325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 3184 Barland Rd
Pattison, MS 39144-9439 - Phone
- (601) 642-4612
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forever Grace LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
3184 Barland Rd
Pattison, MS 39144-9439
Mailing address
3184 Barland Rd
Pattison, MS 39144-9439
Phone (601) 642-4612
Other providers in Pattison, MS
All providers in Pattison, MS · Attendant Care Provider 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 19, 2021. 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.