Buckner, Ethel

Buckner, Ethel is an individual health care provider with primary practice located at 1654 E Union St , Greenville MS 38703-3250. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Buckner, Ethel can be contacted via phone (662) 335-7146.

Contact Information

Primary practice address
1654 E Union St Greenville MS 38703-3250
Phone: (662) 335-7146
Fax: (662) 335-3976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X P143308 Mississippi

Profile Details

NPI number 1205014065
LBN Legal business name Buckner, Ethel
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated Feb 12th, 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 1205014065 NPPES
Mississippi MEDICAID 00018205

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