=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851980718
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ZA'HARA NASH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2021
-----------------------------------------------------
Last Update Date | 07/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1008 ELMWOOD ST
-----------------------------------------------------
City | PORT GIBSON
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39150-2481
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-415-6964
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 JEFFERSON DAVIS BLVD
-----------------------------------------------------
City | NATCHEZ
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39120-5107
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-415-6964
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 907644
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 905219
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------