Speed, Joan Crawford
Speed, Joan Crawford is an individual health care provider with primary practice located at 1818 College Drive , Meridian MS 39307-5429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Speed, Joan Crawford can be contacted via phone (601) 581-8454.Contact Information
Primary practice address
1818 College Drive
Meridian MS 39307-5429
Phone: (601) 581-8454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R852226 | Mississippi |
Profile Details
| NPI number | 1285997759 |
|---|---|
| LBN Legal business name | Speed, Joan Crawford |
| Credentials | APMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2012 |
| Last updated | Dec 16th, 2013 - about 11 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 | 1285997759 | NPPES |
| Mississippi | MEDICAID | 00904389 |
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