Kristi M Slack in Marietta - Nurse Practitioner

Kristi M Slack - NPI 1003840232

Kristi M Slack is a Nurse Practitioner in Marietta, Mississippi. Kristi M Slack practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kristi M Slack is 1003840232. The last update date is 2008-04-11.

Kristi M Slack's current location address is Po Box 56, Marietta, Mississippi. You can contact this provider via phone number 6627282408 and fax number 6627282409. The mailing address for Kristi M Slack is Po Box 56, Marietta, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristi M Slack
Address Po Box 56, Marietta, Mississippi
Phone Number 6627282408
Fax Number 6627282409
Sole Proprietor N
Credentials CF NP

NPI Number Detail

NPI Number 1003840232
Provider Enumeration Date 2006-07-11
Last Updated Date 2008-04-11

Provider Mailing Address Detail

Address Po Box 56
City Marietta
State Mississippi (MS)
Post Code 388560056
Phone Number 6627282408
Fax Number 6627282409

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R853095
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
239247 MS --

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FAQs about Kristi M Slack

What is the unique provider identifier assigned to Kristi M Slack?

The Kristi M Slack has been issued the NPI (National Provider Identifier) 1003840232 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Kristi M Slack is physically located?

The Kristi M Slack is situated at the following address: Po Box 56, Marietta, MS 388560056.

What is Kristi M Slack'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 Kristi M Slack is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

On what date did Kristi M Slack receive its 1003840232 assignment from the Centers for Medicare & Medicaid Services?

The Kristi M Slack was assigned its 1003840232 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kristi M Slack last refreshed?

The information related to the Kristi M Slack, including its address, specialty, and other relevant details, was last updated on 2008-04-11.

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