Dorris, Pattye
Dorris, Pattye is an individual health care provider with primary practice located at 415 Us Highway 49 N , Tutwiler MS 38963-5091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Dorris, Pattye can be contacted via phone (662) 645-6567.Contact Information
Primary practice address
415 Us Highway 49 N
Tutwiler MS 38963-5091
Phone: (662) 645-6567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 902063 | Mississippi |
Profile Details
| NPI number | 1588211916 |
|---|---|
| LBN Legal business name | Dorris, Pattye |
| Credentials | AGNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2019 |
| Last updated | Aug 21st, 2019 - 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 | 1588211916 | NPPES |
| Mississippi | Other | 903062 | NURSE PRACTIITONER LICENSE |
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