Fouquier, Mary K

Fouquier, Mary K is an individual health care provider with primary practice located at 1207 N West St , Jackson MS 39202-2018. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Fouquier, Mary K can be contacted via phone (601) 354-6654.

Contact Information

Primary practice address
1207 N West St Jackson MS 39202-2018
Phone: (601) 354-6654
Fax: (601) 354-6289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 25784 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R887487 Mississippi

Profile Details

NPI number 1396017646
LBN Legal business name Fouquier, Mary K
Credentials PHD, RN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2012
Last updated May 12th, 2020 - 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 1396017646 NPPES
Mississippi MEDICAID 03285886

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