Reed-Hearn, Tina R

Reed-Hearn, Tina R is an individual health care provider with primary practice located at 950 Brookman Blvd , Brookhaven MS 39601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reed-Hearn, Tina R can be contacted via phone (601) 833-7973.

Contact Information

Primary practice address
950 Brookman Blvd Brookhaven MS 39601
Phone: (601) 833-7973
Fax: (601) 823-3514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R855937 Mississippi

Profile Details

NPI number 1811004914
LBN Legal business name Reed-Hearn, Tina R
Credentials Certified Pediatric Nurse (CPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Oct 31st, 2016 - about 8 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 1811004914 NPPES
Mississippi Other P00295890 RAILROAD MEDICARE
Mississippi MEDICAID 07836065 RAILROAD MEDICARE

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