Healthcare Provider Details

I. General information

NPI: 1366479610
Provider Name (Legal Business Name): HEALTHCARE ENGINEERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W LEE ST
SARDIS MS
38666-1124
US

IV. Provider business mailing address

154 OAKDALE RD
MADISON MS
39110-9076
US

V. Phone/Fax

Practice location:
  • Phone: 662-487-1064
  • Fax: 662-487-1381
Mailing address:
  • Phone: 601-573-0386
  • Fax: 601-856-8003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateMS

VIII. Authorized Official

Name: MS. EDITH MELISSA HUTTO
Title or Position: PARTNER
Credential: RN, BSN, MHS
Phone: 601-573-0386