Sudderth, Rachael
Sudderth, Rachael is an individual health care provider with primary practice located at 204 W Jackson St Ste B , Ridgeland MS 39157-2310. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Sudderth, Rachael can be contacted via phone (601) 636-7222.Contact Information
Primary practice address
204 W Jackson St Ste B
Ridgeland MS 39157-2310
Phone: (601) 636-7222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 904343 | Mississippi |
| Nursing Service Providers / Registered Nurse | 163W00000X | 891932 | Mississippi |
Profile Details
| NPI number | 1952955684 |
|---|---|
| LBN Legal business name | Sudderth, Rachael |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2019 |
| Last updated | Feb 1st, 2021 - about 5 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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