Healthcare Provider Details

I. General information

NPI: 1699207928
Provider Name (Legal Business Name): ONSITE MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 03/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4023 FRED MARTIN RD
SUMMIT MS
39666-8019
US

IV. Provider business mailing address

4023 FRED MARTIN RD
SUMMIT MS
39666-8019
US

V. Phone/Fax

Practice location:
  • Phone: 601-551-5429
  • Fax: 877-844-3389
Mailing address:
  • Phone: 601-551-5429
  • Fax: 877-844-3389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. BRANDY ANN MORGAN
Title or Position: PRESIDENT OF CLINICAL OPERATIONS
Credential: LPN
Phone: 601-551-5429