Edwards, Jennifer Brooke

Edwards, Jennifer Brooke is an individual health care provider with primary practice located at 136 Marion Ave , Mccomb MS 39648-3620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Edwards, Jennifer Brooke can be contacted via phone (601) 684-3210.

Contact Information

Primary practice address
136 Marion Ave Mccomb MS 39648-3620
Phone: (601) 684-3210
Fax: (601) 684-3319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R875038 Mississippi

Profile Details

NPI number 1790019354
LBN Legal business name Edwards, Jennifer Brooke
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2009
Last updated Jul 22nd, 2013 - about 11 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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