Healthcare Provider Details

I. General information

NPI: 1639187511
Provider Name (Legal Business Name): NATCHEZ REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 SEARGENT S PRENTISS DR
NATCHEZ MS
39120
US

IV. Provider business mailing address

54 SEARGENT S PRENTISS DR
NATCHEZ MS
39120
US

V. Phone/Fax

Practice location:
  • Phone: 601-443-2100
  • Fax: 601-443-2885
Mailing address:
  • Phone: 601-443-2100
  • Fax: 601-443-2885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number11220
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number11220
License Number StateMS

VIII. Authorized Official

Name: MR. JEFFREY S WESSELMAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: CEO
Phone: 601-443-2600