Ward, Rebecca Perry
Ward, Rebecca Perry is an sole proprietor health care provider with primary practice located at 4381 South Eason Blvd Longtown Medical Park, 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. Ward, Rebecca Perry can be contacted via phone (662) 377-7354.Contact Information
Primary practice address
4381 South Eason Blvd Longtown Medical Park
Tupelo MS 38801
Phone: (662) 377-7354
Fax: (662) 377-5301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R686093 | Mississippi |
Profile Details
| NPI number | 1003969304 |
|---|---|
| LBN Legal business name | Ward, Rebecca Perry |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003969304 | NPPES |
| Mississippi | MEDICAID | 0114215 |
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