Harbin, Angel S,

Harbin, Angel S, is an individual health care provider with primary practice located at 149 N Eason Blvd , Tupelo MS 38804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Harbin, Angel S, can be contacted via phone (662) 678-1050.

Contact Information

Primary practice address
149 N Eason Blvd Tupelo MS 38804
Phone: (662) 678-1050
Fax: (662) 678-1067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R697621 Mississippi

Profile Details

NPI number 1619984390
LBN Legal business name Harbin, Angel S,
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Feb 11th, 2010 - about 15 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 1619984390 NPPES
Mississippi MEDICAID 0121401

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