Mitchell, Courtney Rayne
Mitchell, Courtney Rayne is an individual health care provider with primary practice located at 124 Grandeur Dr , Brandon MS 39042-5015. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mitchell, Courtney Rayne can be contacted via phone (601) 824-3823.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R852899 | Mississippi |
Profile Details
| NPI number | 1811002785 |
|---|---|
| LBN Legal business name | Mitchell, Courtney Rayne |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Mar 1st, 2016 - about 10 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 | 1811002785 | NPPES |
| Mississippi | Other | R852899 | CFNP CERTIFICATE NUMBER |
| Mississippi | MEDICAID | 08484019 | CFNP CERTIFICATE NUMBER |
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