Staples, Christa
Staples, Christa is an individual health care provider with primary practice located at 1529 Columbia Ave , Prentiss MS 39474-9117. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Staples, Christa can be contacted via phone (601) 792-3200.Contact Information
Primary practice address
1529 Columbia Ave
Prentiss MS 39474-9117
Phone: (601) 792-3200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R857329 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | AP04163 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | R857329 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R857329 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP121222 | Texas |
Profile Details
NPI number | 1740319839 |
---|---|
LBN Legal business name | Staples, Christa |
Credentials | CNNP, CPNP, FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 5th, 2007 |
Last updated | Sep 16th, 2022 - 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 | 1740319839 | NPPES |
Mississippi | MEDICAID | 00424220 | |
Mississippi | MEDICAID | 1740319839 |
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