Provider Demographics
NPI:1265115646
Name:TRINITY FAMILY HEALTHCARE, LLC
Entity type:Organization
Organization Name:TRINITY FAMILY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:COX-SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:662-304-6312
Mailing Address - Street 1:114 N HICKORY ST STE C
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MS
Mailing Address - Zip Code:39730-2648
Mailing Address - Country:US
Mailing Address - Phone:662-304-6312
Mailing Address - Fax:
Practice Address - Street 1:114 N HICKORY ST STE C
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MS
Practice Address - Zip Code:39730-2648
Practice Address - Country:US
Practice Address - Phone:662-813-5051
Practice Address - Fax:833-428-4727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty