COURTNEY RACQUEL MATHIS MSN ARNP WHNP-BC NPI 1477005122

NPI Information

NPI: 1477005122
Provider Name: COURTNEY RACQUEL MATHIS, MSN, ARNP, WHNP-BC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1040 RIVER OAKS DR STE 103
FLOWOOD, MS
ZIP 39232
Phone: (601) 948-6540
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Courtney Racquel Mathis, MSN, ARNP, WHNP-BC is a women's health nurse practitioner in Flowood, MS with 8 years of experience. Courtney Racquel Mathis, MSN, ARNP, WHNP-BC NPI is 1477005122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1040 RIVER OAKS DR STE 103
FLOWOOD, MS
ZIP 39232-531
Phone: (601) 948-6540
Fax: (601) 948-6518

The NPI 1477005122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2016 and was last updated on 1/30/2024.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	903706	MISSISSIPPI	No
2	363LW0102X	Nurse Practitioner	Women's Health	903706	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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