MEDICARE: MRS. HELEN FOUCHE DURANT APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R625248	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154319481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HELEN FOUCHE DURANT APRN

Provider Business Mailing Address
First Line	:	4612 HIGHWAY 49 E
Second Line	:
City	:	YAZOO CITY
State	:	MS
Zip	:	39194-2318
Country	:	US
Telephone Number	:	662-751-2535
Fax Number	:	662-751-2465

Provider Business Practice Location Address
First Line	:	4612 HIGHWAY 49 E
Second Line	:
City	:	YAZOO CITY
State	:	MS
Zip	:	39194-2318
Country	:	US
Telephone Number	:	662-751-2535
Fax Number	:	662-751-2465

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	02/15/2016

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