Long, Valerie

Long, Valerie is an individual health care provider with primary practice located at 501 S Chestnut St , Aberdeen MS 39730-3336. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Long, Valerie can be contacted via phone (662) 369-6131.

Contact Information

Primary practice address
501 S Chestnut St Aberdeen MS 39730-3336
Fax: (662) 369-4588
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R130110 Mississippi

Profile Details

NPI number 1134397961
LBN Legal business name Long, Valerie
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2008
Last updated Feb 14th, 2008 - about 16 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 1134397961 NPPES
Mississippi MEDICAID 00115237

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