Smith, Marilyn

Smith, Marilyn is an individual health care provider with primary practice located at 25 Dr Martin Luther King Dr , Durant MS 39063-3577. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Smith, Marilyn can be contacted via phone (662) 739-9016.

Contact Information

Primary practice address
25 Dr Martin Luther King Dr Durant MS 39063-3577
Phone: (662) 739-9016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 904801 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 904801 Mississippi

Profile Details

NPI number 1205592623
LBN Legal business name Smith, Marilyn
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2021
Last updated Nov 10th, 2021 - about 4 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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