Buckels, Carol A

Buckels, Carol A is an individual health care provider with primary practice located at 201 S Railroad Ave , Brookhaven MS 39601-3331. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Buckels, Carol A can be contacted via phone (601) 835-0077.

Contact Information

Primary practice address
201 S Railroad Ave Brookhaven MS 39601-3331
Phone: (601) 835-0077
Fax: (601) 835-0095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R550191 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R550191 Mississippi

Profile Details

NPI number 1972616332
LBN Legal business name Buckels, Carol A
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 18th, 2008 - about 16 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 1972616332 NPPES
Mississippi MEDICAID 00124865

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