Dueitt, Theresa Barrett

Dueitt, Theresa Barrett is an individual health care provider with primary practice located at 1203 Jefferson St , Laurel MS 39440-4354. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Dueitt, Theresa Barrett can be contacted via phone (601) 649-2863.

Contact Information

Primary practice address
1203 Jefferson St Laurel MS 39440-4354
Phone: (601) 649-2863
Fax: (601) 649-9479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R709271 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R709271 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R709271 Mississippi

Profile Details

NPI number 1881817450
LBN Legal business name Dueitt, Theresa Barrett
Credentials APRN,BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated May 14th, 2013 - about 13 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 1881817450 NPPES
Mississippi MEDICAID 02277797
Mississippi Other 4741566
Mississippi Other P00811329

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