Nurse Practitioner, Family
BETHANY MEDICAL CLINIC, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1487792032 · enumerated 2007-02-02 · record updated 2010-03-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. RICKY MOORE, Ins. Clerk · (662) 846-5032
Addresses and phones
- Mailing address PO BOX 358, CLEVELAND, MS, 38732-0358 (662) 846-5032 Fax (662) 846-5034 Google Maps Apple Maps OpenStreetMap
- Practice location 548 EAST ROSEMARY ROAD, SUITE B, CLEVELAND, MS, 38732 (662) 846-5032 Fax (662) 846-5034 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License R793654 MS
In this directory
Locations and evidence
-
Practice location
CLEVELAND, MS, 38732
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.