OrganizationActive
Advanced Medical Rehabilitation, LLC
NPI 1831132562 · Family Nurse Practitioner · Clarksdale, MS
Provider details
- NPI number
- 1831132562
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- John Berry, Owner(662) 624-2466
- License
- R659975 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1051 Lee Dr
Suite 1b
Clarksdale, MS 38614-3615
Phone: (662) 624-2466
Fax: (662) 624-4876
Approximate (ZIP-level) locationGet directions
Mailing address
1051 Lee Drive
Clarksdale, MS 38614-3616
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.