Brock, Nell Catherine
Brock, Nell Catherine is an individual health care provider with primary practice located at 108 Vfw Rd , Grenada MS 38901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brock, Nell Catherine can be contacted via phone (662) 226-6920.Contact Information
Primary practice address
108 Vfw Rd
Grenada MS 38901
Phone: (662) 226-6920
Fax: (662) 226-6920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R604526 | Mississippi |
Profile Details
| NPI number | 1841299500 |
|---|---|
| LBN Legal business name | Brock, Nell Catherine |
| Credentials | FNP,C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Nov 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841299500 | NPPES |
| Mississippi | MEDICAID | 0019532 |
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