KUNTRY NURSE TELEHEALTH
NPI 1548047970
Nurse Practitioner - Family in Flowood, MS

Q: What is Kuntry Nurse, LLC's NPI number?

The NPI number for Kuntry Nurse, LLC is 1548047970. It was assigned to this organization in the NPPES registry on September 11, 2023. The provider is doing business as Kuntry Nurse Telehealth.

Q: What is Kuntry Nurse, LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kuntry Nurse, LLC was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since September 11, 2023

232 MARKET STREET, SUITE 259, FLOWOOD, MS 39232(601) 310-9784 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kuntry Nurse Telehealth NPPES

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

KUNTRY NURSE TELEHEALTH (NPI 1548047970) is a healthcare organization registered as a family in Flowood, Mississippi and active in the NPI registry since September 2023. The organization lists Dametra Mangum, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1548047970

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameKUNTRY NURSE, LLC

Location Address232 MARKET STREET, SUITE 259Flowood, MS 39232-3339

Mailing Address1252 West Government Street, P.o. Box 2336Brandon, MS 39043-2336 · (601) 310-9784

Phone(601) 310-9784

Organization SubpartNo

Authorized OfficialDametra MangumChief Executive Officer · (601) 310-9784

Enumeration DateSeptember 11, 2023

Last NPPES UpdateNovember 10, 2024

NPPES CertifiedNovember 10, 2024

✔ NPI 1548047970 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

232 MARKET STREET, Flowood, MS 39232

Open in Google Maps ↗

Other Names 1

Doing Business AsKuntry Nurse Telehealth

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

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

MISSISSIPPI MEDICAL SPECIALISTS PC

Clinic/Center

232 MARKET STREET
FLOWOOD, MS 39232

Rankin County (800) 557-8950

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 Kuntry Nurse, LLC's NPI number?

The NPI number for Kuntry Nurse, LLC is 1548047970. It was assigned to this organization in the NPPES registry on September 11, 2023. The provider is doing business as Kuntry Nurse Telehealth.

Where is Kuntry Nurse, LLC located?

Kuntry Nurse, LLC is located at 232 Market Street Suite 259, Flowood, MS 39232. The listed phone number is (601) 310-9784.

What is Kuntry Nurse, 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 Kuntry Nurse, LLC was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.