Bond, Tabitha S

Bond, Tabitha S is an individual health care provider with primary practice located at 11 Doctors Dr , Ocean Springs MS 39564-5709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bond, Tabitha S can be contacted via phone (228) 872-2403.

Contact Information

Primary practice address
11 Doctors Dr Ocean Springs MS 39564-5709
Phone: (228) 872-2403
Fax: (228) 875-7584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R865506 Mississippi

Profile Details

NPI number 1578734166
LBN Legal business name Bond, Tabitha S
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2008
Last updated May 2nd, 2022 - about 2 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 1578734166 NPPES
Mississippi MEDICAID 00289304

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