Sumerford, David Benson

Sumerford, David Benson is an individual health care provider with primary practice located at 499 Gloster Creek Vlg Suite D-1, Tupelo MS 38801-4600. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Sumerford, David Benson can be contacted via phone (662) 690-8007.

Contact Information

Primary practice address
499 Gloster Creek Vlg Suite D-1 Tupelo MS 38801-4600
Phone: (662) 690-8007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R884013 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 884013 Mississippi

Profile Details

NPI number 1508193459
LBN Legal business name Sumerford, David Benson
Credentials FNP-BC, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2009
Last updated Nov 16th, 2018 - about 6 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 1508193459 NPPES
Mississippi MEDICAID 08725789

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