Edwards-Frye, Louella M.

Edwards-Frye, Louella M. is an sole proprietor health care provider with primary practice located at 6890 Elmore Rd Ste 2 , Southaven MS 38671-9673. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Edwards-Frye, Louella M. can be contacted via phone (662) 655-5948.

Contact Information

Primary practice address
6890 Elmore Rd Ste 2 Southaven MS 38671-9673
Phone: (662) 655-5948
Fax: (662) 269-6317
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 904052 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 904052 Mississippi

Profile Details

NPI number 1780984484
LBN Legal business name Edwards-Frye, Louella M.
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2010
Last updated Dec 21st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780984484 NPPES
Mississippi Other 904052 ADVANCE PRACTICE

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