Mack, Gerri
Mack, Gerri is an individual health care provider with primary practice located at 110 E Railroad St , Long Beach MS 39560-4625. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mack, Gerri can be contacted via phone (228) 678-7036.Contact Information
Primary practice address
110 E Railroad St
Long Beach MS 39560-4625
Phone: (228) 678-7036
Fax: (228) 678-7038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 229709 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 905829 | Mississippi |
Profile Details
| NPI number | 1245014042 |
|---|---|
| LBN Legal business name | Mack, Gerri |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2023 |
| Last updated | Sep 25th, 2024 - about 2 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 | 1245014042 | NPPES |
| Louisiana | Other | 229709 | APRN |
| Louisiana | Other | 905829 | APRN |
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