Brock, Doreen

Brock, Doreen is an individual health care provider with primary practice located at 1046 Division Street , Biloxi MS 39530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brock, Doreen can be contacted via phone (228) 374-2494.

Contact Information

Primary practice address
1046 Division Street Biloxi MS 39530
Phone: (228) 374-2494
Fax: (228) 374-0856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R851826 Mississippi

Profile Details

NPI number 1871640292
LBN Legal business name Brock, Doreen
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Nov 16th, 2011 - about 15 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 1871640292 NPPES
Mississippi MEDICAID 01570890

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