Carr, Jason Evan

Carr, Jason Evan is an individual health care provider with primary practice located at 6941 Highway 11 Suite A, Carriere MS 39426-7793. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Carr, Jason Evan can be contacted via phone (601) 794-3714.

Contact Information

Primary practice address
6941 Highway 11 Suite A Carriere MS 39426-7793
Phone: (601) 794-3714
Fax: (601) 749-3776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R856733 Mississippi

Profile Details

NPI number 1871935189
LBN Legal business name Carr, Jason Evan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2013
Last updated Feb 21st, 2014 - about 12 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 1871935189 NPPES
Mississippi MEDICAID 06437250

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