Hedgepeth, Marlana Perkins

Hedgepeth, Marlana Perkins is an sole proprietor health care provider with primary practice located at 80 Hal Crocker Rd , Ellisville MS 39437-2089. 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. Hedgepeth, Marlana Perkins can be contacted via phone (601) 477-2221.

Contact Information

Primary practice address
80 Hal Crocker Rd Ellisville MS 39437-2089
Phone: (601) 477-2221
Fax: (601) 477-2223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R755324 Mississippi

Profile Details

NPI number 1265534648
LBN Legal business name Hedgepeth, Marlana Perkins
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Dec 7th, 2012 - about 14 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 1265534648 NPPES
Mississippi Other 640507572YV AMERICAN ADMIN GROUP
Mississippi MEDICAID 00124941 AMERICAN ADMIN GROUP
Mississippi MEDICAID 1783269 AMERICAN ADMIN GROUP
Mississippi Other P00346938 AMERICAN ADMIN GROUP

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