Avery, Kara M

Avery, Kara M is an individual health care provider with primary practice located at 2115 Stable Ln , Jackson MS 39212-2582. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Avery, Kara M can be contacted via phone (769) 218-6885.

Contact Information

Primary practice address
2115 Stable Ln Jackson MS 39212-2582
Phone: (769) 218-6885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1124618715
LBN Legal business name Avery, Kara M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2021
Last updated Jan 19th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124618715 NPPES
Mississippi MEDICAID 85-2380684

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