Jakins, Diane C.

Jakins, Diane C. is an individual health care provider with primary practice located at 400 Security Sq , Gulfport MS 39507-1932. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jakins, Diane C. can be contacted via phone (228) 865-1330.

Contact Information

Primary practice address
400 Security Sq Gulfport MS 39507-1932
Phone: (228) 865-1330
Fax: (228) 865-1331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R772563 Mississippi

Profile Details

NPI number 1457543183
LBN Legal business name Jakins, Diane C.
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Apr 3rd, 2013 - about 13 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 1457543183 NPPES
Mississippi MEDICAID 01282761

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