Healthcare Provider Details

I. General information

NPI: 1801142708
Provider Name (Legal Business Name): FELICIA CATCHING CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2012
Last Update Date: 06/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 MISSION 66 # B SUITE 4
VICKSBURG MS
39180-3751
US

IV. Provider business mailing address

231 B W RANCH RD
FLORENCE MS
39073-8443
US

V. Phone/Fax

Practice location:
  • Phone: 601-456-3047
  • Fax:
Mailing address:
  • Phone: 601-456-3047
  • Fax: 601-883-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number7777777
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: