Upchurch, Agnes Pamela
Upchurch, Agnes Pamela is an sole proprietor health care provider with primary practice located at 1350 Sunset Dr Ste B, Grenada MS 38901-4079. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Upchurch, Agnes Pamela can be contacted via phone (662) 229-0669.Contact Information
Primary practice address
1350 Sunset Dr Ste B
Grenada MS 38901-4079
Phone: (662) 229-0669
Fax: (662) 227-9929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R797137 | Mississippi |
Profile Details
| NPI number | 1063644599 |
|---|---|
| LBN Legal business name | Upchurch, Agnes Pamela |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2009 |
| Last updated | Feb 11th, 2020 - about 6 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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