Pulliam, Cindy Anne

Pulliam, Cindy Anne is an individual health care provider with primary practice located at 2500 North State Street Department Of Orthopedics, Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pulliam, Cindy Anne can be contacted via phone (601) 984-6525.

Contact Information

Primary practice address
2500 North State Street Department Of Orthopedics Jackson MS 39216-4500
Phone: (601) 984-6525
Fax: (601) 984-6764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R523364 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R523364 Mississippi

Profile Details

NPI number 1801839568
LBN Legal business name Pulliam, Cindy Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801839568 NPPES
Mississippi MEDICAID 0118514
Mississippi Other 500003207 GRP CC1164
Mississippi Other P 00462309

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