Harrington, Marilyn M

Harrington, Marilyn M is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Harrington, Marilyn M can be contacted via phone (601) 984-6270.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216-4500
Fax: (601) 815-1828
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG0914088 Mississippi

Profile Details

NPI number 1275922502
LBN Legal business name Harrington, Marilyn M
Credentials PHD, RN, AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2015
Last updated Jul 29th, 2015 - about 9 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 1275922502 NPPES
Mississippi MEDICAID 00633561

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