Porter, Ann Michelle

Porter, Ann Michelle is an individual health care provider with primary practice located at 766 Lakeland Dr # A , Jackson MS 39216-4610. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, 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. Porter, Ann Michelle can be contacted via phone (601) 368-3440.

Contact Information

Primary practice address
766 Lakeland Dr # A Jackson MS 39216-4610
Phone: (601) 368-3440
Fax: (601) 368-3441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X R822501 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R822501 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R822501 Mississippi

Profile Details

NPI number 1588856959
LBN Legal business name Porter, Ann Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated May 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588856959 NPPES
Mississippi MEDICAID 03258395
Mississippi Other 0292891-22
Mississippi Other R822501

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