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BEACON HEALTHCARE ASSOCIATES PLLC NPI 1902577174


NPI Information

NPI: 1902577174
Provider Name: BEACON HEALTHCARE ASSOCIATES, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
5266 OLD HWY 11
SUITE 50 PMB 158
HATTIESBURG, MS
ZIP 39402
Phone: (601) 909-8006
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BEACON HEALTHCARE ASSOCIATES, PLLC is a family nurse practitioner in Hattiesburg, MS. BEACON HEALTHCARE ASSOCIATES, PLLC NPI is 1902577174. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5266 OLD HWY 11
SUITE 50 PMB 158
HATTIESBURG, MS
ZIP 39402
Phone: (601) 909-8006

The provider's authorized official is Marquita Tucker .
The authorized official title is Manager and has the following contact phone number (601) 909-8006.

The enumeration date for this NPI number is 9/27/2021 and was last updated on 10/4/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2363LP2300XNurse PractitionerPrimary CareNo
3363LF0000XNurse PractitionerFamilyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.