Pulliam, Priscilla Elizabeth
Pulliam, Priscilla Elizabeth is an individual health care provider with primary practice located at 1030 River Oaks Dr , Jackson MS 39232-9553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pulliam, Priscilla Elizabeth can be contacted via phone (601) 924-3719.Contact Information
Primary practice address
1030 River Oaks Dr
Jackson MS 39232-9553
Phone: (601) 924-3719
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 865613 | Mississippi |
Profile Details
NPI number | 1114975505 |
---|---|
LBN Legal business name | Pulliam, Priscilla Elizabeth |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | May 23rd, 2023 - about last year |
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 | 1114975505 | NPPES |
Mississippi | MEDICAID | 07338051 |
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