Hoover, Deborah A

Hoover, Deborah A is an individual health care provider with primary practice located at 4077 Pemberton Square Blvd , Vicksburg MS 39180-5580. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hoover, Deborah A can be contacted via phone (601) 638-8600.

Contact Information

Primary practice address
4077 Pemberton Square Blvd Vicksburg MS 39180-5580
Phone: (601) 638-8600
Fax: (601) 638-8661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R764566 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R764566 Mississippi

Profile Details

NPI number 1396776514
LBN Legal business name Hoover, Deborah A
Credentials DNP,FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Oct 29th, 2014 - about 10 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 1396776514 NPPES
Mississippi MEDICAID 00125362
Mississippi MEDICAID 1140503

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