NPI 1033370580

The Rainbow Children's Clinic

Organisation Primary Care Clinic/Center Yazoo City, MS

Practice location

Address: 730 E Fifteenth St, Yazoo City, MS 39194-2706
Phone: (662) 751-8566

Authorised official

Name: Portia F Travis
Title: Nurse Practitioner
Phone: (662) 751-8566

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence R800172 (MS)

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1033370580
Entity type: Organization
NPI issued: 18 Jun 2008
Record last updated: 18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.