Slater, Angela

Slater, Angela is an individual health care provider with primary practice located at 2969 Curran Dr N Ste 200 , Jackson MS 39216-4121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Slater, Angela can be contacted via phone (601) 974-5600.

Contact Information

Primary practice address
2969 Curran Dr N Ste 200 Jackson MS 39216-4121
Phone: (601) 974-5600
Fax: (601) 974-5699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R886819 Mississippi

Profile Details

NPI number 1164893921
LBN Legal business name Slater, Angela
Credentials AGNP, C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2015
Last updated Apr 27th, 2022 - about 2 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 1164893921 NPPES
Mississippi MEDICAID 02503001

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