Miller, Mary Brett
Miller, Mary Brett is an sole proprietor health care provider with primary practice located at 401 Southcrest Cir Ste 212 , Southaven MS 38671-6721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miller, Mary Brett can be contacted via phone (662) 245-5270.Contact Information
Primary practice address
401 Southcrest Cir Ste 212
Southaven MS 38671-6721
Phone: (662) 245-5270
Fax: (662) 351-9471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R855665 | Mississippi |
Profile Details
| NPI number | 1093774267 |
|---|---|
| LBN Legal business name | Miller, Mary Brett |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | May 31st, 2024 - about 7 months 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 | 1093774267 | NPPES |
| Mississippi | MEDICAID | 00126816 |
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