Burcham, Penny Lynn
Burcham, Penny Lynn is an individual health care provider with primary practice located at 2908 S Lamar Blvd Ste 100 , Oxford MS 38655-5347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burcham, Penny Lynn can be contacted via phone (662) 281-0112.Contact Information
Primary practice address
2908 S Lamar Blvd Ste 100
Oxford MS 38655-5347
Phone: (662) 281-0112
Fax: (662) 281-0943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R859522 | Mississippi |
Profile Details
| NPI number | 1609967520 |
|---|---|
| LBN Legal business name | Burcham, Penny Lynn |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jun 9th, 2014 - about 11 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 | 1609967520 | NPPES |
| Mississippi | MEDICAID | 07077714 |
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