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NPI Code Detail

MEDICARE: MRS. LULA OWENS HOSKINS FNP

MEDICARE: MRS. LULA OWENS HOSKINS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerR699373MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316979826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LULA OWENS HOSKINS FNP
Provider Business Mailing Address
First Line : 800 OHIO AVENUE
Second Line :
City : CLARKSDALE
State : MS
Zip : 38614-7200
Country : US
Telephone Number : 662-624-4292
Fax Number : 662-624-4354
Provider Business Practice Location Address
First Line : 800 OHIO AVE
Second Line :
City : CLARKSDALE
State : MS
Zip : 38614-7200
Country : US
Telephone Number : 662-624-4292
Fax Number : 662-624-4354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 07/27/2015

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