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360 HEALTHCARE CLINIC
NPI 1952919953
Nurse Practitioner - Family in Pearl, MS

Active since July 16, 2020
202 SAINT PAUL ST, PEARL, MS 39208(769) 572-7819 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 360 Healthcare Clinic NPPES

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

360 HEALTHCARE CLINIC (NPI 1952919953) is a healthcare organization registered as a family in Pearl, Mississippi and active in the NPI registry since July 2020. The organization lists Denetta D Parker, Owner, as its authorized official.

NPPES Registry Identity

NPI1952919953
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business Name360 HEALTHCARE CLINIC
Location Address202 SAINT PAUL STPearl, MS 39208-5134
Mailing Address202 Saint Paul StPearl, MS 39208-5134 · (769) 572-7819
Phone(769) 572-7819
Organization SubpartNo
Authorized OfficialDenetta D ParkerOwner · (769) 572-7819
Enumeration DateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1952919953 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
202 SAINT PAUL ST, Pearl, MS 39208
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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

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 360 Healthcare Clinic's NPI number?

The NPI number for 360 Healthcare Clinic is 1952919953. It was assigned to this organization in the NPPES registry on July 16, 2020.

Where is 360 Healthcare Clinic located?

360 Healthcare Clinic is located at 202 Saint Paul St, Pearl, MS 39208. The listed phone number is (769) 572-7819.

What is 360 Healthcare Clinic'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 360 Healthcare Clinic was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.