Blount, Rebecca
Blount, Rebecca is an individual health care provider with primary practice located at 1455 N Lakeland Dr , Meridian MS 39307-9020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blount, Rebecca can be contacted via phone (601) 581-8461.Contact Information
Primary practice address
1455 N Lakeland Dr
Meridian MS 39307-9020
Phone: (601) 581-8461
Fax: (601) 483-5543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R619728 | Mississippi |
Profile Details
| NPI number | 1992859946 |
|---|---|
| LBN Legal business name | Blount, Rebecca |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Nov 30th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992859946 | NPPES |
| Mississippi | MEDICAID | 00954329 |
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