Hyatt, Deborah A

Hyatt, Deborah A is an individual health care provider with primary practice located at 92 Ratliff St , Lucedale MS 39452-6537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hyatt, Deborah A can be contacted via phone (601) 947-8181.

Contact Information

Primary practice address
92 Ratliff St Lucedale MS 39452-6537
Fax: (601) 947-4411
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-049783 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R865909 Mississippi

Profile Details

NPI number 1063428449
LBN Legal business name Hyatt, Deborah A
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Apr 2nd, 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 1063428449 NPPES
Mississippi MEDICAID 07739398
Mississippi Other 3979885804

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