Frazier, Coretta

Frazier, Coretta is an individual health care provider with primary practice located at 200 N Congress St Ste 109 , Jackson MS 39201-1902. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Frazier, Coretta can be contacted via phone (601) 863-6997.

Contact Information

Primary practice address
200 N Congress St Ste 109 Jackson MS 39201-1902
Phone: (601) 863-6997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1568066686
LBN Legal business name Frazier, Coretta
Credentials MBA-HRM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2020
Last updated Nov 30th, 2020 - about 6 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 1568066686 NPPES
Mississippi Other 853667274 HOME HEALTH

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