Family Nurse Clinic, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAMILY NURSE CLINIC, INC

Practice address

1305 City Ave N
Ripley, MS 38663-1157

Phone

(662) 512-1685

Fax

(662) 512-5403

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 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

Mrs. Brenda L Shelton, CFNP

Title

President

Phone

(662) 512-1685

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679625115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631157",
            "telephone_number": "662-512-1685",
            "fax_number": "662-512-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631157",
            "telephone_number": "662-512-1685",
            "fax_number": "662-512-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NURSE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-512-1685",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04471830",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reeca L Elliott, RPH
• Teressa Ellzey, BSW
• Family Care Clinic of Ripley
• Family Foot Care Clinic Inc
• Family Foot Care Clinic Inc
• Farrell Family Counseling Center, LLC
• Fast Pace Mississippi, PLLC
• Benita Foster
• Kendall King Gillentine, M.S, CF-SLP
• Hunter Lee Givens

• Rural Health Clinic/Center in Ripley, MS
• Providers in Ripley, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.