Healthcare Provider Details

I. General information

NPI: 1245166032
Provider Name (Legal Business Name): ABIGAIL BATTLE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 UNION RIDGE RD
NOXAPATER MS
39346-3011
US

IV. Provider business mailing address

2607 UNION RIDGE RD
NOXAPATER MS
39346-3011
US

V. Phone/Fax

Practice location:
  • Phone: 662-803-0431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number908502
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: