Pitts, Mary

Pitts, Mary is an individual health care provider with primary practice located at 122 E Baker St , Indianola MS 38751-2451. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pitts, Mary can be contacted via phone (662) 887-2212.

Contact Information

Primary practice address
122 E Baker St Indianola MS 38751-2451
Phone: (662) 887-2212
Fax: (662) 887-1279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R703648 Mississippi

Profile Details

NPI number 1508957069
LBN Legal business name Pitts, Mary
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1508957069 NPPES
Mississippi MEDICAID 04780710

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