Individual provider · Type 1 NPI

Mary Hannah Bucklew, NP

Nurse Practitioner · Jackson, MS

NPI number 1467024901 Active

Practice location

1325 E Fortification St
Jackson, MS 39202-2442

Fax (601) 351-5980

Mailing address

14724 Highway 15 N
Louisville, MS 39339-6318

Other practice locations

  • 14724 Highway 15 N, Louisville, MS 39339-6318 · (662) 773-7500

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X904350 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467024901

Mary Hannah Bucklew, NP's National Provider Identifier is 1467024901, issued on Jul 14, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Feb 5, 2024.