Mcmillan, Jalisa Delinda
Mcmillan, Jalisa Delinda is an individual health care provider with primary practice located at 407 Shamrock Ct , Gautier MS 39553-5337. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Mcmillan, Jalisa Delinda can be contacted via phone (228) 497-0690.Contact Information
Primary practice address
407 Shamrock Ct
Gautier MS 39553-5337
Phone: (228) 497-0690
Fax: (228) 497-1363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1245646900 |
|---|---|
| LBN Legal business name | Mcmillan, Jalisa Delinda |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2014 |
| Last updated | Jul 2nd, 2014 - about 11 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 | 1245646900 | NPPES |
| Mississippi | MEDICAID | 00018214 |
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