Healthcare Provider Details

I. General information

NPI: 1326294570
Provider Name (Legal Business Name): HUTTON HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 06/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2737 OAK GROVE ROAD
HATTIESBURG MS
39402
US

IV. Provider business mailing address

2737 OAK GROVE ROAD
HATTIESBURG MS
39402
US

V. Phone/Fax

Practice location:
  • Phone: 601-336-7253
  • Fax: 601-336-7254
Mailing address:
  • Phone: 601-336-7253
  • Fax: 601-336-7254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR671681
License Number StateMS

VIII. Authorized Official

Name: MS. EULA D. POSEY
Title or Position: OWNER
Credential: FNP
Phone: 601-336-7253