Mackie, Deanna
Mackie, Deanna is an individual health care provider with primary practice located at 2610 S Lamar Blvd , Oxford MS 38655-5243. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mackie, Deanna can be contacted via phone (622) 234-1731.Contact Information
Primary practice address
2610 S Lamar Blvd
Oxford MS 38655-5243
Phone: (622) 234-1731
Fax: (662) 236-2392
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R658723 | Mississippi |
Profile Details
NPI number | 1225026032 |
---|---|
LBN Legal business name | Mackie, Deanna |
Credentials | Certified Family Nurse Practitioner (CFNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2005 |
Last updated | Apr 3rd, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225026032 | NPPES |
Mississippi | MEDICAID | 00123497 |
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