Healthcare Provider Details
I. General information
NPI: 1588508469
Provider Name (Legal Business Name): CROOKED LETTER HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8737 HIGHWAY 613 STE 2B
MOSS POINT MS
39562-8179
US
IV. Provider business mailing address
8737 HIGHWAY 613 STE 2B
MOSS POINT MS
39562-8179
US
V. Phone/Fax
- Phone: 228-246-9800
- Fax: 470-237-0574
- Phone: 228-246-9800
- Fax: 470-237-0574
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BILLY
DYCUS
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 228-246-9800