Wells, Catherine C.
Wells, Catherine C. is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine Division Of Nephrology, Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wells, Catherine C. can be contacted via phone (601) 984-5687.Contact Information
Primary practice address
2500 North State Street Department Of Medicine Division Of Nephrology
Jackson MS 39216-4500
Phone: (601) 984-5687
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | R857433 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R857433 | Mississippi |
Profile Details
| NPI number | 1841365152 |
|---|---|
| LBN Legal business name | Wells, Catherine C. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jun 29th, 2016 - about 10 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 | 1841365152 | NPPES |
| Mississippi | Other | P01648524 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 01057053 | RAILROAD MEDICARE PTAN |
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