Innovative Health Llc

LBN: Innovative Health Llc
Innovative Health Llc is an health care organization with primary practice located at 501 Marshall St Ste 605 , Jackson MS 39202-1650. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as the primary health care specialty. Innovative Health Llc can be contacted via phone (601) 968-1690, or through Williams, Marie J via phone (601) 968-1690.

Contact Information

Primary practice address
501 Marshall St Ste 605 Jackson MS 39202-1650
Phone: (601) 968-1690
Fax: (601) 968-1693
Website:
Map and Directions
Authorized official contact:
Name: Williams, Marie J Nurse Practitioner (NP)
Phone: (601) 968-1690

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X

Profile Details

NPI number 1174755359
LBN Legal business name Innovative Health Llc
DBA Doing business as
Authorized official Williams, Marie J Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2009
Last updated Jan 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174755359 NPPES
Mississippi MEDICAID 06058256

Popular Providers