Buntin, Jefferson

Buntin, Jefferson is an individual health care provider with primary practice located at 146 Highland Pkwy , Picayune MS 39466-5575. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Buntin, Jefferson can be contacted via phone (601) 358-9765.

Contact Information

Primary practice address
146 Highland Pkwy Picayune MS 39466-5575
Phone: (601) 358-9765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R881222 Mississippi

Profile Details

NPI number 1114318417
LBN Legal business name Buntin, Jefferson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2015
Last updated Feb 9th, 2015 - about 9 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.

Request for update

Popular Providers