Sabins, Bethany Boteler

Sabins, Bethany Boteler is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sabins, Bethany Boteler can be contacted via phone (601) 984-5320.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5320
Fax: (601) 984-5301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R883121 Mississippi

Profile Details

NPI number 1194065797
LBN Legal business name Sabins, Bethany Boteler
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2013
Last updated Mar 17th, 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 1194065797 NPPES
Mississippi MEDICAID 02421018
Mississippi Other P01266936

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