Baxter, Debra B

Baxter, Debra B is an individual health care provider with primary practice located at 14116 Customs Blvd , Gulfport MS 39503-5164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Baxter, Debra B can be contacted via phone (833) 362-6703.

Contact Information

Primary practice address
14116 Customs Blvd Gulfport MS 39503-5164
Phone: (833) 362-6703
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A004596 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R852798 Mississippi

Profile Details

NPI number 1811079544
LBN Legal business name Baxter, Debra B
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Dec 18th, 2019 - about 5 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 1811079544 NPPES
Mississippi MEDICAID 00125904

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