Deese, Karen Faye

Deese, Karen Faye is an individual health care provider with primary practice located at 1400 20Th Ave Ste D , Meridian MS 39301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Deese, Karen Faye can be contacted via phone (601) 703-8450.

Contact Information

Primary practice address
1400 20Th Ave Ste D Meridian MS 39301
Phone: (601) 703-8450
Fax: (601) 703-8459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R784021 Mississippi

Profile Details

NPI number 1013296052
LBN Legal business name Deese, Karen Faye
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Jun 1st, 2018 - about 8 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 1013296052 NPPES
Alabama MEDICAID 210513
Alabama MEDICAID 00283248

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