Buckley, Jennifer Collier

Buckley, Jennifer Collier is an sole proprietor health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2569. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Buckley, Jennifer Collier can be contacted via phone (228) 861-5255.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39501-2569
Phone: (228) 861-5255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 905386 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 905386 Mississippi

Profile Details

NPI number 1598488660
LBN Legal business name Buckley, Jennifer Collier
Credentials AGACNP-BC FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2022
Last updated Sep 22nd, 2022 - about 4 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 1598488660 NPPES
Mississippi Other 90538 MSBON

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