Organization · Type 2 NPI

Hattiesburg Clinic PA

Nurse Practitioner · Hattiesburg, MS

NPI number 1649334426 Active

Practice location

415 S 28th Ave
Hattiesburg, MS 39401-7246

Fax (601) 579-5240

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1649334426

Hattiesburg Clinic PA's National Provider Identifier is 1649334426, issued on Dec 19, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 18, 2021.