Smith, Mary T
Smith, Mary T is an individual health care provider with primary practice located at 215 Katherine Dr Ste A , Flowood MS 39232-9588. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Mary T can be contacted via phone (601) 665-4162.Contact Information
Primary practice address
215 Katherine Dr Ste A
Flowood MS 39232-9588
Phone: (601) 665-4162
Fax: (888) 398-1151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 668699 | Mississippi |
Profile Details
| NPI number | 1144382672 |
|---|---|
| LBN Legal business name | Smith, Mary T |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Oct 18th, 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 | 1144382672 | NPPES |
| Mississippi | MEDICAID | 000119998 |
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