Priscilla Elizabeth Pulliam in Jackson - Nurse Practitioner
Priscilla Elizabeth Pulliam - NPI 1114975505
Priscilla Elizabeth Pulliam is a Nurse Practitioner in Jackson, Mississippi. Priscilla Elizabeth Pulliam practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Priscilla Elizabeth Pulliam is 1114975505. The last update date is 2023-05-23.
Priscilla Elizabeth Pulliam's current location address is 2500 North State Street, Jackson, Mississippi. You can contact this provider via phone number 6019846426 and fax number 6019846439. The mailing address for Priscilla Elizabeth Pulliam is 2500 North State Street, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Priscilla Elizabeth Pulliam |
|---|---|
| Address | 2500 North State Street, Jackson, Mississippi |
| Phone Number | 6019846426 |
| Fax Number | 6019846439 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1114975505 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2023-05-23 |
Provider Mailing Address Detail
| Address | 2500 North State Street |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019846426 |
| Fax Number | 6019846439 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 865613 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7338051 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Priscilla Elizabeth Pulliam by the Centers for Medicare & Medicaid Services?
The Priscilla Elizabeth Pulliam has been assigned the NPI (National Provider Identifier) 1114975505. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Priscilla Elizabeth Pulliam is physically located?
The Priscilla Elizabeth Pulliam is situated at the following address: 2500 North State Street, Jackson, MS 392164500.
What is Priscilla Elizabeth Pulliam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Priscilla Elizabeth Pulliam is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date was the 1114975505 assigned to Priscilla Elizabeth Pulliam?
The Priscilla Elizabeth Pulliam was issued its 1114975505 on 2006-05-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Priscilla Elizabeth Pulliam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Priscilla Elizabeth Pulliam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-05-23.