Harris, Rachel R
Harris, Rachel R is an individual health care provider with primary practice located at 222 S 27Th Ave , Hattiesburg MS 39401-7165. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harris, Rachel R can be contacted via phone (601) 450-3030.Contact Information
Primary practice address
222 S 27Th Ave
Hattiesburg MS 39401-7165
Phone: (601) 450-3030
Fax: (601) 450-3031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R702587 | Mississippi |
Profile Details
| NPI number | 1720024946 |
|---|---|
| LBN Legal business name | Harris, Rachel R |
| Credentials | FNP- BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2011 - about 13 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 | 1720024946 | NPPES |
| Mississippi | Other | 9000533 | AETNA |
| Mississippi | MEDICAID | 00110358 | AETNA |
| Mississippi | Other | 2596605 | AETNA |
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