Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Medical Clinic of Cleveland, LLC

Organization Family Nurse Practitioner · NPI 1346544376

Family Medical Clinic of Cleveland, LLC provides Family Nurse Practitioner services in Cleveland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

803 1st St
Cleveland, MS 38732-2309 Not confirmed with CMS for 15 years — call before visiting
Phone: (662) 843-2721
Fax: (662) 846-1728
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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 · Licence R855837 (MS)

Record details

NPI number1346544376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Blackwood — President · (662) 843-2721
NPI enumeratedJanuary 5, 2011
Last updated in NPPESJanuary 5, 2011
Mailing address803 1st St, Cleveland, MS 38732-2309

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