SearchMississippi1835P0018X

Olivia Waters

NPI 1659094613 · on the registry since 2022 · sole proprietor

Practice

Address
104 Highway 72 W
Corinth, MS 38834
Phone
(662) 287-8304
Organisation at this address
Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
1835P0018X
1835P0018X
Licence states on file
KY, TN, MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi