Fletcher, Audwin

Fletcher, Audwin is an individual health care provider with primary practice located at 258 E Fortification St , Jackson MS 39202-2356. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Fletcher, Audwin can be contacted via phone (601) 815-8230.

Contact Information

Primary practice address
258 E Fortification St Jackson MS 39202-2356
Phone: (601) 815-8230
Fax: (601) 354-6289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R791517 Mississippi

Profile Details

NPI number 1861451510
LBN Legal business name Fletcher, Audwin
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Oct 29th, 2015 - about 11 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 1861451510 NPPES
Mississippi MEDICAID 00119913

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