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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 Specialty Code Provider Type

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

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

NPI # 1285305060
LBN Legal business name KIDS FIRST PEDIATRIC & ADULT MEDICINE, LLC
Authorized official TIFFANY JACKSON - (FAMILY NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/22/2021
Last updated 09/22/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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