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AGELESS MEN'S HEALTH, LLC
NPI 1124322474
Nurse Practitioner - Family in Southaven, MS

Active since December 30, 2010
7111 SOUTHCREST PKWY, SUITE 109, SOUTHAVEN, MS 38671(901) 522-6745(901) 522-6748 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2024, Nov 13, 2023 (2 updates tracked since 2023).

About Ageless Men's Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGELESS MEN'S HEALTH, LLC (NPI 1124322474) is a healthcare organization registered as a family in Southaven, Mississippi and active in the NPI registry since December 2010. The organization lists Amanda Wilkinson, Business Operations Director, as its authorized official.

NPPES Registry Identity

NPI1124322474
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAGELESS MEN'S HEALTH, LLC
Location Address7111 SOUTHCREST PKWY, SUITE 109Southaven, MS 38671-4850
Mailing Address7111 Southcrest Pkwy, Suite 109Southaven, MS 38671-4850 · (901) 522-6745 · Fax (901) 522-6748
Phone(901) 522-6745
Fax(901) 522-6748
Organization SubpartNo
Authorized OfficialAmanda WilkinsonBusiness Operations Director · (702) 818-0446
Enumeration DateDecember 30, 2010
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1124322474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7111 SOUTHCREST PKWY, Southaven, MS 38671
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ageless Men's Health, LLC's NPI number?

The NPI number for Ageless Men's Health, LLC is 1124322474. It was assigned to this organization in the NPPES registry on December 30, 2010.

Where is Ageless Men's Health, LLC located?

Ageless Men's Health, LLC is located at 7111 Southcrest Pkwy Suite 109, Southaven, MS 38671. The listed phone number is (901) 522-6745.

What is Ageless Men's Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ageless Men's Health, LLC was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.