Healthcare Provider Details

I. General information

NPI: 1417782541
Provider Name (Legal Business Name): HILARY BABB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 BELK BLVD
OXFORD MS
38655-5242
US

IV. Provider business mailing address

874 UNION AVE RM 325
MEMPHIS TN
38103-3514
US

V. Phone/Fax

Practice location:
  • Phone: 662-513-1216
  • Fax: 662-513-1496
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number902059
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: