Hedgepeth, Marlana Perkins
Hedgepeth, Marlana Perkins is an sole proprietor health care provider with primary practice located at 80 Hal Crocker Rd , Ellisville MS 39437-2089. 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. Hedgepeth, Marlana Perkins can be contacted via phone (601) 477-2221.Contact Information
Primary practice address
80 Hal Crocker Rd
Ellisville MS 39437-2089
Phone: (601) 477-2221
Fax: (601) 477-2223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R755324 | Mississippi |
Profile Details
| NPI number | 1265534648 |
|---|---|
| LBN Legal business name | Hedgepeth, Marlana Perkins |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Dec 7th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265534648 | NPPES |
| Mississippi | Other | 640507572YV | AMERICAN ADMIN GROUP |
| Mississippi | MEDICAID | 00124941 | AMERICAN ADMIN GROUP |
| Mississippi | MEDICAID | 1783269 | AMERICAN ADMIN GROUP |
| Mississippi | Other | P00346938 | AMERICAN ADMIN GROUP |
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