Healthcare Provider Details

I. General information

NPI: 1679866990
Provider Name (Legal Business Name): THE HEALTHKEY CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SPRING HILL RD
SILVER CREEK MS
39663-5200
US

IV. Provider business mailing address

56 SPRING HILL RD
SILVER CREEK MS
39663-5201
US

V. Phone/Fax

Practice location:
  • Phone: 601-833-3500
  • Fax: 601-292-6384
Mailing address:
  • Phone: 601-455-4230
  • Fax: 601-292-6384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. GRETA LOUISE KEYS
Title or Position: OWNERE, FNP-BC
Credential: BSN, MSN, FNP-BC
Phone: 601-833-3500