Shull, Gretchen S.

Shull, Gretchen S. is an individual health care provider with primary practice located at 2500 N State St University Physicians, Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Shull, Gretchen S. can be contacted via phone (601) 815-1384.

Contact Information

Primary practice address
2500 N State St University Physicians Jackson MS 39216-4500
Phone: (601) 815-1384
Fax: (601) 815-3322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R870219 Mississippi

Profile Details

NPI number 1376871160
LBN Legal business name Shull, Gretchen S.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2009
Last updated Oct 27th, 2016 - about 10 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 1376871160 NPPES
Mississippi MEDICAID 00672357

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