Wigginton, Jim T

Wigginton, Jim T is an individual health care provider with primary practice located at 1921 Droke Rd , Corinth MS 38884-6604. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wigginton, Jim T can be contacted via phone (662) 415-4762.

Contact Information

Primary practice address
1921 Droke Rd Corinth MS 38884-6604
Phone: (662) 415-4762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R860333 Mississippi

Profile Details

NPI number 1538152756
LBN Legal business name Wigginton, Jim T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Sep 26th, 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 1538152756 NPPES
Mississippi MEDICAID 07973018

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