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NPI Code Detail

MEDICARE: MRS. PAULA ATKINS FNP-BC

MEDICARE: MRS. PAULA ATKINS FNP-BC
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
1363LF0000XFamily Nurse PractitionerR798833MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1202007816OTHERMSTAX IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1487808838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULA ATKINS FNP-BC
Provider Business Mailing Address
First Line : 2110 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2210
Country : US
Telephone Number : 662-243-2435
Fax Number : 662-328-7037
Provider Business Practice Location Address
First Line : 2110 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2210
Country : US
Telephone Number : 662-243-2435
Fax Number : 662-328-7037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2008
Last Update Date : 04/04/2018

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