Anita Denise Wren is a Neonatal in Jackson, Mississippi. Anita Denise Wren practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Anita Denise Wren is 1871521179. The last update date is 2012-06-14.
Anita Denise Wren's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018157100. The mailing address for Anita Denise Wren is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anita Denise Wren |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6018157100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNNP |
NPI Number Detail
| NPI Number | 1871521179 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2012-06-14 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018157100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | R687111 |
|
Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1552461 | LA | -- | |
| 120290 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Anita Denise Wren by the Centers for Medicare & Medicaid Services (CMS)?
The Anita Denise Wren has been assigned the NPI (National Provider Identifier) 1871521179. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Anita Denise Wren is physically located?
The Anita Denise Wren is physically situated at the following address: 2500 N State St, Jackson, MS, 392164500.
What is the Anita Denise Wren's area of specialization and corresponding taxonomy classification?
The Anita Denise Wren's specialty field is Neonatal, and it falls under the taxonomy code 363Ln0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871521179 to Anita Denise Wren?
The Centers for Medicare & Medicaid Services originally issued the 1871521179 to Anita Denise Wren on 2006-06-28.
As of what date were the details related to Anita Denise Wren most recently updated or revised?
The information pertaining to Anita Denise Wren, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-14.
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