Aa Primary Care Services, Llc

LBN: Aa Primary Care Services, Llc
Aa Primary Care Services, Llc is an health care organization with primary practice located at 134 Jervis Mims Rd , Hattiesburg MS 39401-8864. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Aa Primary Care Services, Llc can be contacted via phone (601) 255-5705, or through Parker, Lisa via phone (601) 554-6959.

Contact Information

Primary practice address
134 Jervis Mims Rd Hattiesburg MS 39401-8864
Phone: (601) 255-5705
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parker, Lisa FNP-BC
Phone: (601) 554-6959

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R852821 Mississippi

Profile Details

NPI number 1962762401
LBN Legal business name Aa Primary Care Services, Llc
DBA Doing business as
Authorized official Parker, Lisa FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2012
Last updated Sep 8th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962762401 NPPES
Mississippi MEDICAID 08657850
Mississippi Other 12027545

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