NPI Search for Physicians and Health Care Providers
BRAD H MASSEY AACNP, ANP
Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1164537445
Individual Registrant:
BRAD H MASSEY AACNP, ANP
Gender: M
Sole Proprietor
Location and contact information for practice:
348 KNIGHT RD SUMRALL, MS 39482-3702 US
Tel: 601-606-6326 Fax: --
Contact information for business:
348 KNIGHT ROAD SUMRALL, MS 39482 US
Tel: 601-606-6326 Fax: --
Registration Information:
NPI: 1164537445
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care | MS | R814032 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
AMERICAN ADMIN GROUP | 640507572PO | MS | 01 |
| 1582531 | LA | 05 |
| 00124846 | MS | 05 |
HEALTH CARE JOBS MS - Page 1