Nash, Jerry Louis

Nash, Jerry Louis is an individual health care provider with primary practice located at 1205 Second St , Pelahatchie MS 39145-3050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Nash, Jerry Louis can be contacted via phone (601) 825-7280.

Contact Information

Primary practice address
1205 Second St Pelahatchie MS 39145-3050
Phone: (601) 825-7280
Fax: (601) 825-8130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R861839 Mississippi

Profile Details

NPI number 1598921793
LBN Legal business name Nash, Jerry Louis
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Oct 14th, 2016 - about 9 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 1598921793 NPPES
Mississippi MEDICAID 04274568

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