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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1396017646 | NPPES |
Mississippi | MEDICAID | 03285886 |
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