Craig Alan Mathis is a Family in Jackson, Mississippi. Craig Alan Mathis practices all healthcare services and medical treatments related to Family. The NPI Number for Craig Alan Mathis is 1093725673. The last update date is 2015-04-02.
Craig Alan Mathis's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845171. The mailing address for Craig Alan Mathis is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Craig Alan Mathis |
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Address | 2500 N State St, Jackson, Mississippi |
Phone Number | 6019845171 |
Fax Number | |
Sole Proprietor | N |
Credentials | MSN, APRN, |
NPI Number Detail
NPI Number | 1093725673 |
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Provider Enumeration Date | 2006-08-08 |
Last Updated Date | 2015-04-02 |
Provider Mailing Address Detail
Address | 2500 N State St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392164500 |
Phone Number | 6019845171 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 12115 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7322877 | MS | -- |
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What is the Craig Alan Mathis's unique identification number?
The Craig Alan Mathis has been assigned the NPI (National Provider Identifier) Number 1093725673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Craig Alan Mathis?
The Craig Alan Mathis is physically situated at 2500 N State St, in the city of Jackson, state of MS, with the postal code 392164500.
What is Craig Alan Mathis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Craig Alan Mathis's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date was the 1093725673 assigned to Craig Alan Mathis?
The Craig Alan Mathis was issued its 1093725673 on 2006-08-08, 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 Craig Alan Mathis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Craig Alan Mathis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-02.