Smith, Katherine Chaffin
Smith, Katherine Chaffin is an individual health care provider with primary practice located at 101 Ricky D Britt Sr Blvd , Oxford MS 38655-9103. 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. Smith, Katherine Chaffin can be contacted via phone (662) 236-5442.Contact Information
Primary practice address
101 Ricky D Britt Sr Blvd
Oxford MS 38655-9103
Phone: (662) 236-5442
Fax: (662) 236-5295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R858087 | Mississippi |
Profile Details
| NPI number | 1215021001 |
|---|---|
| LBN Legal business name | Smith, Katherine Chaffin |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | May 13th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215021001 | NPPES |
| Mississippi | MEDICAID | 06230207 |
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