Durrett, Sandra C
Durrett, Sandra C is an individual health care provider with primary practice located at 300 Oxford Road , New Albany MS 38652. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Durrett, Sandra C can be contacted via phone (662) 534-8166.Contact Information
Primary practice address
300 Oxford Road
New Albany MS 38652
Phone: (662) 534-8166
Fax: (662) 534-8132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R803937 | Mississippi |
Profile Details
| NPI number | 1033195953 |
|---|---|
| LBN Legal business name | Durrett, Sandra C |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Aug 31st, 2020 - about 4 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 | 1033195953 | NPPES |
| Mississippi | MEDICAID | 00122524 |
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