Enhanced Wellness of Oak Grove, PLLC
Enhanced Wellness of Oak Grove, PLLC provides Family Nurse Practitioner services in Hattiesburg, Mississippi. Registered with an NPI since 2009.
- In the registry since
- 2009
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
56 98 Place BlvdHattiesburg, MS 39402-8603
Phone: (601) 264-7286
Fax: (601) 450-4640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1154564920 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Betty Ryba — Provider/Owner · (601) 264-7286 |
| NPI enumerated | April 9, 2009 |
| Last updated in NPPES | November 15, 2021 |
| Certification date | November 15, 2021 |
| Mailing address | 56 98 Place Blvd, Hattiesburg, MS 39402-8603 |
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