OrganizationActive
Nurse Practitioner Professionals, PLLC
NPI 1205218690 · Ambulatory Surgical Clinic/Center · Brookhaven, MS
Provider details
- NPI number
- 1205218690
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Theresa King, Owner/Pres. Nurse. Practitioner(601) 826-5500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
427 Highway 51 Se
Kings Daughters Medical Center-Wound Healing Center
Brookhaven, MS 39601
Phone: (601) 835-9444
Fax: (601) 833-5210
Approximate (ZIP-level) locationGet directions
Mailing address
262 Cornerstone Dr
Brandon, MS 39042
Other names (DBA / former)
- Doing business as
- Theresa Renee King
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2015-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.