Anthony, Jena Wade

Anthony, Jena Wade is an sole proprietor health care provider with primary practice located at 457 E Madison St , Houston MS 38851-2308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anthony, Jena Wade can be contacted via phone (662) 567-5005.

Contact Information

Primary practice address
457 E Madison St Houston MS 38851-2308
Phone: (662) 567-5005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R882626 Mississippi

Profile Details

NPI number 1962870253
LBN Legal business name Anthony, Jena Wade
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2015
Last updated Sep 3rd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers