COLLABORATIVENP HEALTH CENTER LLC
NPI 1316728512
Nurse Practitioner - Family in Osyka, MS

Active since October 12, 2023
1081 SECOND ST, OSYKA, MS 39657(769) 264-7004(866) 493-3926 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2025, Oct 12, 2023 (2 updates tracked since 2023).

About Collaborativenp Health Center Llc NPPES

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

COLLABORATIVENP HEALTH CENTER LLC (NPI 1316728512) is a healthcare organization registered as a family in Osyka, Mississippi and active in the NPI registry since October 2023. The organization lists Ellen Denise Harris, Owner, as its authorized official.

NPPES Registry Identity

NPI1316728512
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOLLABORATIVENP HEALTH CENTER LLC
Location Address1081 SECOND STOsyka, MS 39657-8076
Mailing AddressPo Box 400Osyka, MS 39657-0400 · (769) 264-7004 · Fax (866) 493-3926
Fax(866) 493-3926
Organization SubpartNo
Authorized OfficialEllen Denise HarrisOwner · (808) 724-0177
Enumeration DateOctober 12, 2023
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1316728512 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
1081 SECOND ST, Osyka, MS 39657

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1081 SECOND ST
OSYKA, MS 39657
Nurse Practitioner (Family)
1081 SECOND ST
OSYKA, MS 39657
Clinic/Center (Rural Health)
1081 SECOND ST
OSYKA, MS 39657

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 Collaborativenp Health Center LLC's NPI number?

The NPI number for Collaborativenp Health Center LLC is 1316728512. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Collaborativenp Health Center LLC located?

Collaborativenp Health Center LLC is located at 1081 Second St, Osyka, MS 39657. The listed phone number is (769) 264-7004.

What is Collaborativenp Health Center 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 Collaborativenp Health Center LLC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.