Eaton, Mary Angela

Eaton, Mary Angela is an sole proprietor health care provider with primary practice located at 961 S Gloster St , Tupelo MS 38801-6343. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Eaton, Mary Angela can be contacted via phone (662) 377-4550.

Contact Information

Primary practice address
961 S Gloster St Tupelo MS 38801-6343
Phone: (662) 377-4550
Fax: (662) 377-4425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 905722 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 905722 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 950722 Mississippi

Profile Details

NPI number 1255044269
LBN Legal business name Eaton, Mary Angela
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2023
Last updated Jan 4th, 2023 - about last year

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.

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