NPI 1033581665 DEMETRICA STOKES PEGUES FNP WATER VALLEY MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Demetrica Stokes Pegues - NPI: 1033581665

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DEMETRICA STOKES PEGUES
NPI Number: 1033581665
Entity Type Code: Individual (1)
Gender: F
Credentials: FNP
License Number: R901345
Business Practice Address: 604 S Main St
Water Valley, MS - 389653468
Business Phone Number: 6624735242
Business Fax Number: 6624734191
Mailing Address: 604 S Main St,
WATER VALLEY
State: MS
Postal Code: 389653468
Phone Number: 6624735242
Fax Number: 6624734191
NPI Enumeration Date: 10/22/2015
NPI Last Update Date: 10/22/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: R901345
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MS
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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