Taylor, Angela Ridge
Taylor, Angela Ridge is an individual health care provider with primary practice located at 961 South Gloster Street , Tupelo MS 38801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taylor, Angela Ridge can be contacted via phone (662) 844-9166.Contact Information
Primary practice address
961 South Gloster Street
Tupelo MS 38801
Phone: (662) 844-9166
Fax: (662) 844-0170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R853671 | Mississippi |
Profile Details
| NPI number | 1699774810 |
|---|---|
| LBN Legal business name | Taylor, Angela Ridge |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Sep 30th, 2010 - about 14 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 | 1699774810 | NPPES |
| Mississippi | MEDICAID | 0126044 |
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