Pulliam, Priscilla Elizabeth

Pulliam, Priscilla Elizabeth is an individual health care provider with primary practice located at 1030 River Oaks Dr , Jackson MS 39232-9553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pulliam, Priscilla Elizabeth can be contacted via phone (601) 924-3719.

Contact Information

Primary practice address
1030 River Oaks Dr Jackson MS 39232-9553
Phone: (601) 924-3719
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 865613 Mississippi

Profile Details

NPI number 1114975505
LBN Legal business name Pulliam, Priscilla Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated May 23rd, 2023 - about 3 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 1114975505 NPPES
Mississippi MEDICAID 07338051

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