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NPI Code Detail

MEDICARE: RUTH SWEET CFNP

MEDICARE: RUTH SWEET CFNP
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
1363L00000XNurse PractitionerR620831MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255429031
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH SWEET CFNP
Provider Business Mailing Address
First Line : 1693 FAIRGROUNDS RD
Second Line :
City : GREENVILLE
State : MS
Zip : 38703-7810
Country : US
Telephone Number : 662-725-2749
Fax Number : 662-725-2741
Provider Business Practice Location Address
First Line : 300 S WASHINGTON AVE
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-4719
Country : US
Telephone Number : 662-334-2209
Fax Number : 662-334-2146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 06/25/2008

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Directions to “ RUTH SWEET CFNP” Practice Location

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