OrganizationActive
Medical Foundation, Inc.
NPI 1306977848 · Occupational Health Nurse Practitioner · Meridian, MS
Provider details
- NPI number
- 1306977848
- Entity type
- Organization
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Don Kennedy, Regional Ceo(601) 703-9614
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1710 14th St
Meridian, MS 39301-4140
Phone: (601) 703-4415
Fax: (601) 703-4418
Approximate (ZIP-level) locationGet directions
Mailing address
Dept 3020, Po Box 1000
Memphis, TN 38148-3020
Other names (DBA / former)
- Doing business as
- Ochsner Rush Occupational Health
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2025-01-17
- Certified
- 2025-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.