Wells, Catherine C.

Wells, Catherine C. is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine Division Of Nephrology, Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wells, Catherine C. can be contacted via phone (601) 984-5687.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine Division Of Nephrology Jackson MS 39216-4500
Phone: (601) 984-5687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R857433 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R857433 Mississippi

Profile Details

NPI number 1841365152
LBN Legal business name Wells, Catherine C.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 29th, 2016 - about 9 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 1841365152 NPPES
Mississippi Other P01648524 RAILROAD MEDICARE PTAN
Mississippi MEDICAID 01057053 RAILROAD MEDICARE PTAN

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