MRS. ANITA DENISE WREN CNNP NPI 1871521179

NPI Information

NPI: 1871521179
Provider Name: MRS. ANITA DENISE WREN, CNNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 815-7100
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MRS. Anita Denise Wren, CNNP is a neonatal nurse practitioner in Jackson, MS. MRS. Anita Denise Wren, CNNP NPI is 1871521179. 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:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 815-7100

The enumeration date for this NPI number is 6/28/2006 and was last updated on 6/14/2012.

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	363LN0000X	Nurse Practitioner	Neonatal	R687111	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1552461	MEDICAID	LOUISIANA
2	512I500432	MEDICARE PIN	MISSISSIPPI
3	00120290	MEDICAID	MISSISSIPPI

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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