Billy R Windham in Hattiesburg - Nurse Practitioner
Billy R Windham - NPI 1649380940
Billy R Windham is a Nurse Practitioner in Hattiesburg, Mississippi. Billy R Windham practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Billy R Windham is 1649380940. The last update date is 2020-07-20.
Billy R Windham's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012685630 and fax number 6015795240. The mailing address for Billy R Windham is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Billy R Windham |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6012685630 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1649380940 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-07-20 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6012685630 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R810054 |
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Definition: (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 certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 640507572KX | MS | AMERICAN ADMIN GROUP | |
| 114640 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Billy R Windham by the Centers for Medicare & Medicaid Services?
The Billy R Windham has been assigned the NPI (National Provider Identifier) 1649380940. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Billy R Windham's facilities are situated?
The facilities of Billy R Windham are physically located at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.
What is Billy R Windham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Billy R Windham is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649380940 to Billy R Windham?
The Centers for Medicare & Medicaid Services originally issued the 1649380940 to Billy R Windham on 2006-08-30.
When was the information regarding Billy R Windham most recently updated?
The details pertaining to the Billy R Windham, including its address, specialty, and other relevant information, were last refreshed on 2020-07-20.