Spiers, Sandra Janell
Spiers, Sandra Janell is an sole proprietor health care provider with primary practice located at 117 N Main St Ste B , Picayune MS 39466-3936. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Spiers, Sandra Janell can be contacted via phone (769) 242-0896.Contact Information
Primary practice address
117 N Main St Ste B
Picayune MS 39466-3936
Phone: (769) 242-0896
Fax: (769) 242-0896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP06825 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R836775 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R836775 | Mississippi |
Profile Details
| NPI number | 1518167949 |
|---|---|
| LBN Legal business name | Spiers, Sandra Janell |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Mar 2nd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518167949 | NPPES |
| Louisiana | MEDICAID | 1107468 | |
| Louisiana | Other | 2831390 | |
| Louisiana | Other | P00816371 | |
| Louisiana | MEDICAID | 04778509 |
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