Renwick, Priscilla M.

Renwick, Priscilla M. is an individual health care provider with primary practice located at 4333 15Th St Suite A, Gulfport MS 39501-2525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Renwick, Priscilla M. can be contacted via phone (228) 863-4000.

Contact Information

Primary practice address
4333 15Th St Suite A Gulfport MS 39501-2525
Phone: (228) 863-4000
Fax: (228) 863-4003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R551635 Mississippi

Profile Details

NPI number 1861499592
LBN Legal business name Renwick, Priscilla M.
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 10th, 2014 - about 12 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 1861499592 NPPES
Mississippi MEDICAID 0126456

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