Stuart, Daniel Patrick

Stuart, Daniel Patrick is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Stuart, Daniel Patrick can be contacted via phone (601) 815-1627.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-1627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R858532 Mississippi

Profile Details

NPI number 1689829525
LBN Legal business name Stuart, Daniel Patrick
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2008
Last updated Dec 12th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689829525 NPPES
Alabama MEDICAID 192809
Alabama Other P01402432
Alabama Other 302I508607
Alabama MEDICAID 07457849

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