Healthcare Provider Details

I. General information

NPI: 1609718915
Provider Name (Legal Business Name): NP CARE ANYWHERE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 SPRINGRIDGE RD
CLINTON MS
39056-5606
US

IV. Provider business mailing address

590 SPRINGRIDGE RD
CLINTON MS
39056-5606
US

V. Phone/Fax

Practice location:
  • Phone: 601-488-8101
  • Fax: 866-499-2129
Mailing address:
  • Phone: 601-488-8101
  • Fax: 866-499-2129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KIMYUANA DORRIS
Title or Position: OWNER
Credential: NP
Phone: 601-488-8101