Healthcare Provider Details

I. General information

NPI: 1326751678
Provider Name (Legal Business Name): MARGARET DOGGETT NELSON AGAC-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 15TH ST FL 2
MERIDIAN MS
39301-4130
US

IV. Provider business mailing address

PO BOX 749215
ATLANTA GA
30374-9215
US

V. Phone/Fax

Practice location:
  • Phone: 601-553-2000
  • Fax: 601-483-9471
Mailing address:
  • Phone: 901-226-3186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number905734
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: