Wanderful Porter is a Tupelo, Mississippi based nurse practitioner with 25 years of experience in Primary Care. She completed her graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Wanderful Porter is R748355 for Primary Care in Mississippi. Her current practice location is 602 Brunson Dr, Tupelo. Patients can reach her at 662-680-3855 or can fax her at 662-680-3372. Wanderful Porter is FNP-BC with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1407833221. Wanderful Porter is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Wanderful Porter speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3476698374
Enrollment ID:
I20100303000517
NPI Number:
1407833221
NPI Enumeration Date:
22 Dec, 2005
NPI Last Update On:
30 Oct, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wanderful Porter are as mentioned below.
License Number
Specialization
State
Status
R748355
Primary Care
Mississippi
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Wanderful Porter is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
North Mississippi Medical Center Inc (9931010600)
253
Other Medical Identifiers:
Other legacy medical identifiers associated with Wanderful Porter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00124068
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.