Mascagni, Jennifer Reeder

Mascagni, Jennifer Reeder is an individual health care provider with primary practice located at 4210 Lincoln Rd , Hattiesburg MS 39402-3093. 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. Mascagni, Jennifer Reeder can be contacted via phone (601) 261-3500.

Contact Information

Primary practice address
4210 Lincoln Rd Hattiesburg MS 39402-3093
Phone: (601) 261-3500
Fax: (601) 579-5240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R863841 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 863841 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN109495 APO4933 Louisiana

Profile Details

NPI number 1861578635
LBN Legal business name Mascagni, Jennifer Reeder
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 26th, 2022 - about 4 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 1861578635 NPPES
Mississippi MEDICAID 09025802

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