Mcleod, Michele Fontenelle
Mcleod, Michele Fontenelle is an sole proprietor health care provider with primary practice located at 967 Cedar Lake Rd Ste B , Biloxi MS 39532-2128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcleod, Michele Fontenelle can be contacted via phone (228) 396-8531.Contact Information
Primary practice address
967 Cedar Lake Rd Ste B
Biloxi MS 39532-2128
Phone: (228) 396-8531
Fax: (228) 396-1835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R645982 | Mississippi |
Profile Details
| NPI number | 1346261864 |
|---|---|
| LBN Legal business name | Mcleod, Michele Fontenelle |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1346261864 | NPPES |
| Mississippi | MEDICAID | 05238388 | |
| Mississippi | Other | 640617252002 | |
| Mississippi | Other | R645982 |
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