Windham, Billy R

Windham, Billy R is an individual health care provider with primary practice located at 103 Medical Park Fl 2 , Hattiesburg MS 39401-9042. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Windham, Billy R can be contacted via phone (601) 268-5630.

Contact Information

Primary practice address
103 Medical Park Fl 2 Hattiesburg MS 39401-9042
Phone: (601) 268-5630
Fax: (601) 579-3285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R810054 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 810054 Mississippi

Profile Details

NPI number 1649380940
LBN Legal business name Windham, Billy R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 9th, 2024 - about 7 months 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 1649380940 NPPES
Mississippi Other 640507572KX AMERICAN ADMIN GROUP
Mississippi MEDICAID 00114640 AMERICAN ADMIN GROUP

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