Archie, Deliondra

Archie, Deliondra is an sole proprietor health care provider with primary practice located at 181 Stull Rd , Brandon MS 39047-8266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Archie, Deliondra can be contacted via phone (160) 150-3059.

Contact Information

Primary practice address
181 Stull Rd Brandon MS 39047-8266
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 901755 Mississippi

Profile Details

NPI number 1720513583
LBN Legal business name Archie, Deliondra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2017
Last updated Apr 28th, 2017 - about 9 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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