OrganizationActive
Collaborative Health and Rehabilitation Services, Inc
NPI 1700348133 · Family Nurse Practitioner · Summit, MS
Provider details
- NPI number
- 1700348133
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brandy Morgan, President of Clinical Operations(601) 551-5429
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
1068 Buck Cir
Summit, MS 39666-9723
Phone: (601) 551-4779
Approximate (ZIP-level) locationGet directions
Mailing address
4023 Fred Martin Rd
Summit, MS 39666-8019
Additional practice locations (1)
- 719 Avenue GKentwood, LA 70444-2601Phone: (985) 229-9193
Registry dates
- Enumerated
- 2019-04-04
- Last updated
- 2019-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.