Individual provider · Type 1 NPI

Rebecca Ivy, RN

Registered Nurse · Laurel, MS

NPI number 1114684883 Active

Practice location

934 West Dr
Laurel, MS 39440-4702

Fax (601) 428-5790

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X904346 (MS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1114684883

Rebecca Ivy, RN's National Provider Identifier is 1114684883, issued on Nov 17, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Laurel, MS. The record was last updated on Nov 17, 2021.