Angie S Haraway in Jackson - Nurse Practitioner
Angie S Haraway - NPI 1790876928
Angie S Haraway is a Nurse Practitioner in Jackson, Mississippi. Angie S Haraway practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Angie S Haraway is 1790876928. The last update date is 2016-05-05.
Angie S Haraway's current location address is 971 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6012005955 and fax number 6012005957. The mailing address for Angie S Haraway is 971 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angie S Haraway |
|---|---|
| Address | 971 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6012005955 |
| Fax Number | 6012005957 |
| Sole Proprietor | N |
| Credentials | NP-C |
NPI Number Detail
| NPI Number | 1790876928 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2016-05-05 |
Provider Mailing Address Detail
| Address | 971 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164643 |
| Phone Number | 6012005955 |
| Fax Number | 6012005957 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R862590 |
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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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What is the unique 10-digit identifier code issued to Angie S Haraway by the Centers for Medicare & Medicaid Services?
The Angie S Haraway has been assigned the NPI (National Provider Identifier) 1790876928 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Angie S Haraway is located?
The Angie S Haraway is situated at the following address: 971 Lakeland Dr, Jackson, MS, 392164643.
What is the Angie S Haraway's area of specialization and corresponding taxonomy classification?
The Angie S Haraway's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When did the Angie S Haraway receive its 1790876928?
The Angie S Haraway was issued its 1790876928 on 2006-09-26, which is the date when the organization was assigned this unique identifier.
When was the information regarding Angie S Haraway most recently updated?
The details pertaining to the Angie S Haraway, including its address, specialty, and other relevant information, were last refreshed on 2016-05-05.