ELIZABETH MCCORD FNP-C SANE-A SANE-P NPI 1194179226

NPI Information

  • NPI: 1194179226
  • Provider Name: ELIZABETH MCCORD, FNP-C SANE-A SANE-P
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3823 HIGHWAY 80 E STE 200
    PEARL, MS
    ZIP 39208
  • Phone: (769) 223-3261

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NPI Details

Elizabeth Mccord, FNP-C SANE-A SANE-P is a family nurse practitioner in Pearl, MS with 10 years of experience. Elizabeth Mccord, FNP-C SANE-A SANE-P NPI is 1194179226. 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:

3823 HIGHWAY 80 E STE 200
PEARL, MS
ZIP 39208-272
Phone: (769) 223-3261
Fax: (601) 414-0158

The NPI 1194179226 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 4/14/2016 and was last updated on 11/5/2024.

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
1207Q00000XFamily Medicine901498MISSISSIPPINo
2363LF0000XNurse PractitionerFamily901498MISSISSIPPIYes

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: 3/30/2025

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