Wren, Anita Denise

Wren, Anita Denise 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 / Neonatal, which is considered as her primary health care specialty. Wren, Anita Denise can be contacted via phone (601) 815-7100.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R687111 Mississippi

Profile Details

NPI number 1871521179
LBN Legal business name Wren, Anita Denise
Credentials CNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jun 14th, 2012 - about 14 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 1871521179 NPPES
Louisiana MEDICAID 1552461
Louisiana MEDICAID 00120290

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