IndividualActive
Edith Wheatley
NPI 1285173443 · Nurse's Aide · Southaven, MS
Provider details
- NPI number
- 1285173443
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- A019170 (MS)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3814 Farm Pond Cv E
Southaven, MS 38671-7073
Phone: (901) 299-7736
Approximate (ZIP-level) locationGet directions
Mailing address
3814 Farm Pond Cv E
Southaven, MS 38671-7073
Registry dates
- Enumerated
- 2017-02-20
- Last updated
- 2017-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.