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PREMIER HEALTH & WELLNESS CLINIC LLC
NPI 1558764464
Licensed Practical Nurse in Natchez, MS

Active since October 06, 2014
300 HIGHLAND BLVD, SUITE B, NATCHEZ, MS 39120(601) 304-2421 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Health & Wellness Clinic Llc NPPES

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

PREMIER HEALTH & WELLNESS CLINIC LLC (NPI 1558764464) is a healthcare organization registered as a licensed practical nurse in Natchez, Mississippi and active in the NPI registry since October 2014. The organization lists Angie O Waller, Fnp, as its authorized official.

NPPES Registry Identity

NPI1558764464
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NamePREMIER HEALTH & WELLNESS CLINIC LLC
Location Address300 HIGHLAND BLVD, SUITE BNatchez, MS 39120-4600
Mailing AddressPo Box 14149Baton Rouge, LA 70898-4149 · (225) 930-0060 · Fax (225) 952-9075
Phone(601) 304-2421
Organization SubpartNo
Authorized OfficialAngie O WallerFnp · (601) 304-2421
Enumeration DateOctober 6, 2014
Last NPPES UpdateMarch 9, 2015
✔ NPI 1558764464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MS · R853759
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
300 HIGHLAND BLVD, Natchez, MS 39120
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

ANGELA O WALLER FNP
Nurse Practitioner (Family)
300 HIGHLAND BLVD, SUITE B
NATCHEZ, MS 39120
Adams County (601) 304-2421
I V MEDICINES INC
Pharmacy (Community/Retail Pharmacy)
300 HIGHLAND BLVD, STE E
NATCHEZ, MS 39120
Adams County (601) 442-9853
AMPUCARE, LLC
Prosthetic/Orthotic Supplier
300 HIGHLAND BLVD, SUITE A
NATCHEZ, MS 39120
Adams County (601) 442-5503
JEFFREY ROSS ANDERSON D.O.
Family Medicine
300 HIGHLAND BLVD, SUITE C
NATCHEZ, MS 39120
Adams County (601) 442-4343

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 Premier Health & Wellness Clinic LLC's NPI number?

The NPI number for Premier Health & Wellness Clinic LLC is 1558764464. It was assigned to this organization in the NPPES registry on October 6, 2014.

Where is Premier Health & Wellness Clinic LLC located?

Premier Health & Wellness Clinic LLC is located at 300 Highland Blvd Suite B, Natchez, MS 39120. The listed phone number is (601) 304-2421.

What is Premier Health & Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

What insurance does Premier Health & Wellness Clinic LLC accept?

Health plans from Molina Healthcare list Premier Health & Wellness Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Health & Wellness Clinic LLC was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.