Bournes, Doretha
Bournes, Doretha is an sole proprietor health care provider with primary practice located at 354 Cub Brown Rd , Monticello MS 39654-7505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bournes, Doretha can be contacted via phone (601) 587-4629.Contact Information
Primary practice address
354 Cub Brown Rd
Monticello MS 39654-7505
Phone: (601) 587-4629
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R858932 | Mississippi |
Profile Details
| NPI number | 1487089546 |
|---|---|
| LBN Legal business name | Bournes, Doretha |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2013 |
| Last updated | Sep 9th, 2013 - about 13 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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