Ladner, Toni L

Ladner, Toni L is an individual health care provider with primary practice located at 1911 Mission 66 Ste B , Vicksburg MS 39180-3762. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Prescribing (Medical), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ladner, Toni L can be contacted via phone (601) 665-4162.

Contact Information

Primary practice address
1911 Mission 66 Ste B Vicksburg MS 39180-3762
Phone: (601) 665-4162
Fax: (855) 830-3484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X R850484 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 850484 Mississippi

Profile Details

NPI number 1922374057
LBN Legal business name Ladner, Toni L
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Mar 30th, 2023 - about last year

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 1922374057 NPPES
Mississippi MEDICAID 01583061
Mississippi MEDICAID 00018213

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