Hunter, Brook Channelle

Hunter, Brook Channelle is an individual health care provider with primary practice located at 2500 N State St Cardiovascular Intensive Care Unit, Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Hunter, Brook Channelle can be contacted via phone (601) 815-1575.

Contact Information

Primary practice address
2500 N State St Cardiovascular Intensive Care Unit Jackson MS 39216-4500
Phone: (601) 815-1575
Fax: (601) 815-1577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R880244 Mississippi

Profile Details

NPI number 1952717274
LBN Legal business name Hunter, Brook Channelle
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2014
Last updated Oct 14th, 2019 - about 6 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 1952717274 NPPES
Mississippi Other P01620203 RAILROAD MEDICARE
Mississippi MEDICAID 02739555 RAILROAD MEDICARE

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