Mason, Jenee Michelle

Mason, Jenee Michelle is an individual health care provider with primary practice located at 3550 Highway 468 W , Pearl MS 39208-5529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Mason, Jenee Michelle can be contacted via phone (601) 351-8000.

Contact Information

Primary practice address
3550 Highway 468 W Pearl MS 39208-5529
Phone: (601) 351-8000
Fax: (601) 351-8301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R822143 Mississippi

Profile Details

NPI number 1720090715
LBN Legal business name Mason, Jenee Michelle
Credentials C.F.N.P./C.A.P.M.H.N
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Dec 30th, 2010 - about 14 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 1720090715 NPPES
Mississippi MEDICAID 05828277

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