Buckley, Christen H

Buckley, Christen H is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Buckley, Christen H can be contacted via phone (601) 984-5160.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R880177 Mississippi

Profile Details

NPI number 1972840585
LBN Legal business name Buckley, Christen H
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2013
Last updated Oct 6th, 2015 - about 11 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 1972840585 NPPES
Mississippi MEDICAID 03274801
Mississippi Other P01500389

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