MEDICARE: VITA TEMPUS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1104662279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITA TEMPUS, LLC

Provider Business Mailing Address
First Line	:	134 FAIRMONT ST STE C
Second Line	:
City	:	CLINTON
State	:	MS
Zip	:	39056-4739
Country	:	US
Telephone Number	:	769-348-3330
Fax Number	:	769-348-3351

Provider Business Practice Location Address
First Line	:	134 FAIRMONT ST STE C
Second Line	:
City	:	CLINTON
State	:	MS
Zip	:	39056-4739
Country	:	US
Telephone Number	:	769-348-3330
Fax Number	:	769-348-3351

Authorized Official
Title or Position	:	CO-OWNER/FNP
Name	:	MRS. PRINCE S MCCLINTON
Credential	:	NP
Telephone Number	:	769-348-3330

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	07/08/2024

Similar Medicare Providers

1821092404 — MRS. CATHERINE E. CALLENDER L.C.S.W.
Practice Location Address:

134 FAIRMONT ST , STE. E
CLINTON, MS
39056-4739

Practice Phone: 601-925-8194
Practice Fax: 601-925-8196

1508879107 — MRS. JESSICA R CRONN LPC
Practice Location Address:

134 FAIRMONT ST STE B
CLINTON, MS
39056-4739

Practice Phone: 601-397-1554
Practice Fax:

1851668131 — CATHERINE CALLENDER LLC
Practice Location Address:

134 FAIRMONT ST , STE E
CLINTON, MS
39056-4739

Practice Phone: 601-925-8194
Practice Fax: 601-925-8196

1194349795 — CREATIVE SISTERS COUNSELING LLC
Practice Location Address:

134 FAIRMONT ST STE C
CLINTON, MS
39056-4739

Practice Phone: 601-913-9800
Practice Fax: 769-447-4943

1124742705 — RIVERTREE COUNSELING ASSOCIATES LLC
Practice Location Address:

134 FAIRMONT ST STE B
CLINTON, MS
39056-4739

Practice Phone: 601-670-6444
Practice Fax:

1538052923 — VITA TEMPUS CARE
Practice Location Address:

134 FAIRMONT ST STE C
CLINTON, MS
39056-4739

Practice Phone: 769-348-3330
Practice Fax: 769-348-3351

Directions to “VITA TEMPUS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.