RICKY BERNARD CONWAY REGISTERED NURSE NPI 1225667488

NPI Information

NPI: 1225667488
Provider Name: RICKY BERNARD CONWAY, REGISTERED NURSE
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
5732 ANGLE DRIVE
JACKSON, MS
ZIP 39206
Phone: (601) 832-0616
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Ricky Bernard Conway, REGISTERED NURSE is a medical-surgical registered nurse in Jackson, MS. Ricky Bernard Conway, REGISTERED NURSE NPI is 1225667488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5732 ANGLE DRIVE
JACKSON, MS
ZIP 39206-920
Phone: (601) 832-0616

The enumeration date for this NPI number is 4/8/2020 and was last updated on 4/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	860326	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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