Healthcare Provider Details

I. General information

NPI: 1538023122
Provider Name (Legal Business Name): YUMEKA RATLIFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 HIGHWAY 98 E
TYLERTOWN MS
39667-7229
US

IV. Provider business mailing address

700 HIGHWAY 98 E
TYLERTOWN MS
39667-7229
US

V. Phone/Fax

Practice location:
  • Phone: 601-303-8003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number10089481
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: