Theresa Renee King is a Family in Brandon, Mississippi. Theresa Renee King practices all healthcare services and medical treatments related to Family. The NPI Number for Theresa Renee King is 1669576989. The last update date is 2015-10-20.
Theresa Renee King's current location address is Po Box 1805, Brandon, Mississippi. You can contact this provider via phone number 6018265500 and fax number 6014205299. The mailing address for Theresa Renee King is Po Box 1805, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Renee King |
|---|---|
| Address | Po Box 1805, Brandon, Mississippi |
| Phone Number | 6018265500 |
| Fax Number | 6014205299 |
| Sole Proprietor | Y |
| Credentials | RN, CFNP |
NPI Number Detail
| NPI Number | 1669576989 |
|---|---|
| Provider Enumeration Date | 2006-09-08 |
| Last Updated Date | 2015-10-20 |
Provider Mailing Address Detail
| Address | Po Box 1805 |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390431805 |
| Phone Number | 6018265500 |
| Fax Number | 6014205299 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R873560 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2572058 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Theresa Renee King by the Centers for Medicare & Medicaid Services?
The Theresa Renee King has been issued the NPI (National Provider Identifier) 1669576989, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Theresa Renee King's physical address?
The Theresa Renee King is physically located at Po Box 1805, in the city of Brandon, MS, with the postal code 390431805.
What is the area of specialization for Theresa Renee King, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theresa Renee King is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date was the 1669576989 assigned to Theresa Renee King?
The Theresa Renee King was issued its 1669576989 on 2006-09-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Theresa Renee King most recently updated?
The details pertaining to the Theresa Renee King, including its address, specialty, and other relevant information, were last refreshed on 2015-10-20.
NPI Number: 1144225426
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