Daniels, Jeremiah Wesley
Daniels, Jeremiah Wesley is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Daniels, Jeremiah Wesley can be contacted via phone (601) 261-3606.Contact Information
Primary practice address
415 S 28Th Ave
Hattiesburg MS 39401-7246
Phone: (601) 261-3606
Fax: (601) 579-5383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN9215601 | Florida |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN187112 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN187112 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 901433 | Mississippi |
Profile Details
| NPI number | 1518014166 |
|---|---|
| LBN Legal business name | Daniels, Jeremiah Wesley |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Aug 10th, 2020 - 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 | 1518014166 | NPPES |
| Georgia | Other | 1952395097 | NORTH GEORGIA MEDICAL CENTER NPI |
| Georgia | MEDICAID | 02323776 | NORTH GEORGIA MEDICAL CENTER NPI |
| Georgia | Other | RN187112 | NORTH GEORGIA MEDICAL CENTER NPI |
| Georgia | Other | 58-1896463 | NORTH GEORGIA MEDICAL CENTER NPI |
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