MEDICARE: REMIND ME WELLNESS CLINIC

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
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1831926948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMIND ME WELLNESS CLINIC

Provider Business Mailing Address
First Line	:	328 E OTTO ST
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-4324
Country	:	US
Telephone Number	:	601-720-1531
Fax Number	:

Provider Business Practice Location Address
First Line	:	712 E PEACE ST
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-4731
Country	:	US
Telephone Number	:	601-720-1531
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. NANCY LOUISE BENNETT
Credential	:	PMHNP-BC
Telephone Number	:	601-720-1531

Provider Enumeration Date	:	09/14/2024
Last Update Date	:	03/05/2026

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Directions to “REMIND ME WELLNESS CLINIC ” Practice Location

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