Milestones Pediatric Clinic, Llc
LBN: Milestones Pediatric Clinic, Llc
Milestones Pediatric Clinic, Llc is an health care organization with primary practice located at 224 S Church St Ste B , Brookhaven MS 39601-3232. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as the primary health care specialty.
Milestones Pediatric Clinic, Llc can be contacted via phone (601) 990-4028, or through Hickman, Ashley Hatcher via phone (601) 990-4028.
Contact Information
Primary practice address
224 S Church St Ste B
Brookhaven MS 39601-3232
Phone: (601) 990-4028
Fax:
Website:
Authorized official contact:
Name: Hickman, Ashley Hatcher Certified Pediatric Nurse Practitioner (CPNP)
Phone: (601) 990-4028
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X |
Profile Details
| NPI number | 1114543980 |
|---|---|
| LBN Legal business name | Milestones Pediatric Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Hickman, Ashley Hatcher Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2020 |
| Last updated | Jan 19th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114543980 | NPPES |
| Mississippi | MEDICAID | 008700082 |
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