| NPI | 1801528591 |
|---|---|
| Other Name | ULTIMATE CARE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUSHAUNDA NASH Owner 662-694-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2023-03-08 |