Norman, Desiree

Norman, Desiree is an individual health care provider with primary practice located at 11150 Highway 49 Mbh Outpatient Clinic, Gulfport MS 39503-4110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Norman, Desiree can be contacted via phone (228) 575-1000.

Contact Information

Primary practice address
11150 Highway 49 Mbh Outpatient Clinic Gulfport MS 39503-4110
Phone: (228) 575-1000
Fax: (228) 575-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R872705 Mississippi

Profile Details

NPI number 1861898355
LBN Legal business name Norman, Desiree
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2014
Last updated Jun 1st, 2015 - 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 1861898355 NPPES
Mississippi MEDICAID 01858357

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