DIVINITY PEDIATRIC CLINIC, PLLC
NPI 1629741152
Nurse Practitioner - Pediatrics in Pearl, MS
About Divinity Pediatric Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINITY PEDIATRIC CLINIC, PLLC (NPI 1629741152) is a healthcare organization registered as a pediatrics in Pearl, Mississippi and active in the NPI registry since July 2021. The organization lists Rekita D. Mccoy, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEARL, MS 39208
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 Divinity Pediatric Clinic, PLLC's NPI number?
The NPI number for Divinity Pediatric Clinic, PLLC is 1629741152. It was assigned to this organization in the NPPES registry on July 29, 2021.
Where is Divinity Pediatric Clinic, PLLC located?
Divinity Pediatric Clinic, PLLC is located at 200 Riverwind Dr Ste 104, Pearl, MS 39208. The listed phone number is (601) 345-4044.
What is Divinity Pediatric Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
When was this NPI record last updated?
The NPPES record for Divinity Pediatric Clinic, PLLC was last updated on September 3, 2022. 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.
