Harper, Myrtis Marie

Harper, Myrtis Marie is an sole proprietor health care provider with primary practice located at 231 Mason Blvd , Jackson MS 39212-5035. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Harper, Myrtis Marie can be contacted via phone (601) 497-4861.

Contact Information

Primary practice address
231 Mason Blvd Jackson MS 39212-5035
Phone: (601) 497-4861
Fax: (601) 373-3716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P314106 Mississippi

Profile Details

NPI number 1134205248
LBN Legal business name Harper, Myrtis Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Jul 9th, 2007 - about 17 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 1134205248 NPPES
Mississippi MEDICAID 00770457

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