Harrison, Lynda Denise

Harrison, Lynda Denise is an individual health care provider with primary practice located at 16 Bellegrass Blvd. , Hattiesburg MS 39402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Harrison, Lynda Denise can be contacted via phone (601) 620-0370.

Contact Information

Primary practice address
16 Bellegrass Blvd. Hattiesburg MS 39402
Fax: (602) 620-0369
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R764142 Mississippi

Profile Details

NPI number 1447208830
LBN Legal business name Harrison, Lynda Denise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 27th, 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 1447208830 NPPES
Mississippi MEDICAID 00119353

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