Hollis Langston Purviance in Jackson - Family
Hollis Langston Purviance - NPI 1023028925
Hollis Langston Purviance is a Family in Jackson, Mississippi. Hollis Langston Purviance practices all healthcare services and medical treatments related to Family. The NPI Number for Hollis Langston Purviance is 1023028925. The last update date is 2019-11-19.
Hollis Langston Purviance's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019841000 and fax number 6019846533. The mailing address for Hollis Langston Purviance is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hollis Langston Purviance |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019841000 |
| Fax Number | 6019846533 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1023028925 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2019-11-19 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39216 |
| Phone Number | 6019841000 |
| Fax Number | 6019846533 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R859975 |
|
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 |
|---|---|---|---|
| 8425307 | MS | -- | |
| 512G700003 | MS | UNIVERSITY PHYSICIANS | |
| P01194846 | MS | RR MEDICARE PTAN | |
| 8425307 | MS | -- | |
| P00618110 | MS | RR PTAN |
Post Comment/ Review Below
What is the Hollis Langston Purviance's 1023028925?
The Hollis Langston Purviance's NPI (National Provider Identifier) Number is 1023028925. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Hollis Langston Purviance's physical address?
The Hollis Langston Purviance is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 39216.
What is Hollis Langston Purviance's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Hollis Langston Purviance is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
When did Hollis Langston Purviance receive its 1023028925 assignment?
The Hollis Langston Purviance was assigned its 1023028925 on 2006-08-09, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Hollis Langston Purviance, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Hollis Langston Purviance, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-11-19.