Fleming, Mary Ann
Fleming, Mary Ann is an individual health care provider with primary practice located at 806 Garfield St , Tupelo MS 38801-5749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fleming, Mary Ann can be contacted via phone (662) 377-5395.Contact Information
Primary practice address
806 Garfield St
Tupelo MS 38801-5749
Phone: (662) 377-5395
Fax: (662) 377-5390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R682527 | Mississippi |
Profile Details
| NPI number | 1780622712 |
|---|---|
| LBN Legal business name | Fleming, Mary Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Sep 8th, 2009 - about 16 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 | 1780622712 | NPPES |
| Mississippi | MEDICAID | 00954376 |
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