Long, Katherine Marie

Long, Katherine Marie is an individual health care provider with primary practice located at 1225 N State St Surgery, Jackson MS 39202-2064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Long, Katherine Marie can be contacted via phone (601) 968-7047.

Contact Information

Primary practice address
1225 N State St Surgery Jackson MS 39202-2064
Phone: (601) 968-7047
Fax: (601) 968-4133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X TPA0023 Mississippi

Profile Details

NPI number 1134495484
LBN Legal business name Long, Katherine Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2012
Last updated Mar 29th, 2018 - 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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