Aloha Primary Care

Organization Active NPI Primary Care Nurse Practitioner · Diamondhead, MS

NPI 1982126983 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1982126983
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
Legal business name
ALOHA PRIMARY CARE
Practice address
4402 E Aloha Dr Ste 15
Diamondhead, MS 39525-3305
Phone
(228) 222-5060
Fax
(228) 364-9004
NPI assigned
Jul 11, 2017
Organization subpart
No

Authorized official

Name
Mr. James W Embry, N.P.
Title
Owner/Nurse Practitioner
Phone
(228) 364-9001

National Provider Directory

Locations

4402 E Aloha Dr
Ste 15
Diamondhead, MS 39525
Phone (228) 222-5060

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP2300X MS Yes

Addresses

Primary practice location

4402 E Aloha Dr Ste 15
Diamondhead, MS 39525-3305

Mailing address

4402 E Aloha Dr Ste 15
Diamondhead, MS 39525-3305
Phone (228) 222-5060

Other providers in Diamondhead, MS

All providers in Diamondhead, MS · Primary Care Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.