1. Home
  2. Directory
  3. Mississippi
  4. Olive Branch
  5. Nurse Practitioner
  6. NPI Profile

EXCELLENCE CONCIERGE MEDICINE LLC
NPI 1124718366
Nurse Practitioner - Community Health in Olive Branch, MS

Active since May 10, 2023
7712 KERI CV, OLIVE BRANCH, MS 38654(901) 832-6805 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Excellence Concierge Medicine Llc NPPES

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

EXCELLENCE CONCIERGE MEDICINE LLC (NPI 1124718366) is a healthcare organization registered as a community health in Olive Branch, Mississippi and active in the NPI registry since May 2023. The organization lists Miranda D White, Fnp/ceo, as its authorized official.

NPPES Registry Identity

NPI1124718366
Entity TypeOrganization
Primary Taxonomy363LC1500X
Legal Business NameEXCELLENCE CONCIERGE MEDICINE LLC
Location Address7712 KERI CVOlive Branch, MS 38654-5049
Mailing Address6515 Goodman Rd, Suite 4 Box 298Olive Branch, MS 38654 · (901) 832-6805
Phone(901) 832-6805
Organization SubpartNo
Authorized OfficialMiranda D WhiteFnp/ceo · (901) 832-6805
Enumeration DateMay 10, 2023
NPPES CertifiedMay 8, 2023
✔ NPI 1124718366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
7712 KERI CV, Olive Branch, MS 38654
Open in Google Maps ↗

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 MULTIPLE 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 Excellence Concierge Medicine LLC's NPI number?

The NPI number for Excellence Concierge Medicine LLC is 1124718366. It was assigned to this organization in the NPPES registry on May 10, 2023.

Where is Excellence Concierge Medicine LLC located?

Excellence Concierge Medicine LLC is located at 7712 Keri Cv, Olive Branch, MS 38654. The listed phone number is (901) 832-6805.

What is Excellence Concierge Medicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

When was this NPI record last updated?

The NPPES record for Excellence Concierge Medicine LLC was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.