OrganizationActive
360 Healthcare Clinic
NPI 1952919953 · Family Nurse Practitioner · Pearl, MS
Provider details
- NPI number
- 1952919953
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Denetta Parker, Owner(769) 572-7819
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
202 Saint Paul St
Pearl, MS 39208-5134
Phone: (769) 572-7819
Approximate (ZIP-level) locationGet directions
Mailing address
202 Saint Paul St
Pearl, MS 39208-5134
Registry dates
- Enumerated
- 2020-07-16
- Last updated
- 2020-07-16
- Certified
- 2020-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.