Healthcare Provider Details

I. General information

NPI: 1528210986
Provider Name (Legal Business Name): PRIMARY SOLUTIONS FAMILY HEALTH CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 CALHOUN AVE
YAZOO CITY MS
39194-2938
US

IV. Provider business mailing address

1008 CALHOUN AVE
YAZOO CITY MS
39194-2938
US

V. Phone/Fax

Practice location:
  • Phone: 662-751-8847
  • Fax: 662-751-8848
Mailing address:
  • Phone: 662-751-8847
  • Fax: 662-751-8848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR866077
License Number StateMS

VIII. Authorized Official

Name: KRISTY L ROBINSON
Title or Position: PRESIDENT/OWNER
Credential: NP
Phone: 662-751-8847