Lee, Karen
Lee, Karen is an individual health care provider with primary practice located at 64 Old Airport Rd , Hattiesburg MS 39401-8382. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lee, Karen can be contacted via phone (601) 909-9390.Contact Information
Primary practice address
64 Old Airport Rd
Hattiesburg MS 39401-8382
Phone: (601) 909-9390
Fax: (601) 909-9389
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R850033 | Mississippi |
Profile Details
NPI number | 1386930477 |
---|---|
LBN Legal business name | Lee, Karen |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2011 |
Last updated | Mar 19th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386930477 | NPPES |
Mississippi | MEDICAID | 06576706 |
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