Dearman, Donald Allan

Dearman, Donald Allan is an individual health care provider with primary practice located at 1911 Mission 66 Ste B , Vicksburg MS 39180-3762. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Dearman, Donald Allan can be contacted via phone (601) 665-4162.

Contact Information

Primary practice address
1911 Mission 66 Ste B Vicksburg MS 39180-3762
Phone: (601) 665-4162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 902297 Mississippi

Profile Details

NPI number 1679084024
LBN Legal business name Dearman, Donald Allan
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2017
Last updated Nov 18th, 2021 - about 5 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 1679084024 NPPES
Mississippi MEDICAID 00026591

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