Hendrix-Rayfield, Glenda J

Hendrix-Rayfield, Glenda J is an individual health care provider with primary practice located at 153A S Market St , Holly Springs MS 38635-3029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hendrix-Rayfield, Glenda J can be contacted via phone (662) 252-9987.

Contact Information

Primary practice address
153A S Market St Holly Springs MS 38635-3029
Fax: (662) 252-7517
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R863202 Mississippi

Profile Details

NPI number 1912231358
LBN Legal business name Hendrix-Rayfield, Glenda J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2009
Last updated Aug 27th, 2020 - about 4 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 1912231358 NPPES
Mississippi Other 2009002558 ANCC
Mississippi MEDICAID 0427334 ANCC

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