Healthcare Provider Details

I. General information

NPI: 1427980309
Provider Name (Legal Business Name): MRS. CHRISTY BATES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

778 LIBERTY RD
FLOWOOD MS
39232-9321
US

IV. Provider business mailing address

778 LIBERTY RD
FLOWOOD MS
39232-9321
US

V. Phone/Fax

Practice location:
  • Phone: 769-243-6141
  • Fax:
Mailing address:
  • Phone: 769-243-6141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number877539
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: