Tustain, Rebecca

Tustain, Rebecca is an individual health care provider with primary practice located at 1115 N Frontage Rd , Vicksburg MS 39180-5102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tustain, Rebecca can be contacted via phone (601) 634-8790.

Contact Information

Primary practice address
1115 N Frontage Rd Vicksburg MS 39180-5102
Phone: (601) 634-8790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R543349 Mississippi

Profile Details

NPI number 1992730998
LBN Legal business name Tustain, Rebecca
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1992730998 NPPES
Mississippi MEDICAID 0118982

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