IndividualActive
Mavis Prude, RN
NPI 1730778507 · Registered Nurse · Tupelo, MS
Mavis Prude, RN is a Registered Nurse provider in Tupelo, MS (NPI 1730778507).
Provider details
- NPI number
- 1730778507
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- R637165 (MS)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
136 Mlk Ave
Tupelo, MS 38801
Phone: (662) 422-1281
Street-level locationGet directions
Mailing address
Po Box 594
Verona, MS 38879-0594
Registry dates
- Enumerated
- 2021-01-15
- Last updated
- 2021-01-15
- Certified
- 2021-01-04
Frequently asked questions
- What is Mavis Prude's NPI number?
- Mavis Prude's National Provider Identifier (NPI) is 1730778507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mavis Prude's specialty?
- Mavis Prude is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Mavis Prude located?
- Mavis Prude's practice location on file with NPPES is 136 Mlk Ave, Tupelo, MS 38801.
- What is Mavis Prude's phone number?
- The practice phone number listed in the NPPES registry for Mavis Prude is (662) 422-1281.
- Is Mavis Prude's NPI active?
- Yes — Mavis Prude's NPI (1730778507) is active in the NPPES registry as of the last update on 2021-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.