Floyd, Mitzi Nichols

Floyd, Mitzi Nichols is an individual health care provider with primary practice located at 613 Marquette Rd , Brandon MS 39042-3038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Floyd, Mitzi Nichols can be contacted via phone (601) 825-8800.

Contact Information

Primary practice address
613 Marquette Rd Brandon MS 39042-3038
Phone: (601) 825-8800
Fax: (601) 824-1681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 862958 Mississippi

Profile Details

NPI number 1356713903
LBN Legal business name Floyd, Mitzi Nichols
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2015
Last updated Apr 25th, 2017 - about 9 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 1356713903 NPPES
Mississippi MEDICAID 02785041
Mississippi MEDICAID 02623831

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