National Provider Identifier Database

KIDS FIRST PEDIATRIC ADULT MEDICINE LLC
Family Health


Contact Information

KIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC
404 RIVERWIND DR STE B-1
PEARL, MS39208-5900
Phone: 601-623-9245
Fax: 601-623-9246
Website:
Specialty Taxonomy Code
* Family Health 364SF0001X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for KIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC

NPI Number 1285305060
Legal business name
LBN
KIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC
Authorized official TIFFANY JACKSON - (FAMILY NURSE PRACTITIONER)
Entity Organization
Organization subpart Yes
Enumeration date 09/22/2021
Last updated 09/22/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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