KATIE ELISABETH RATTRAY CRNP NPI 1902196652

NPI Information

Katie Elisabeth Rattray, CRNP is a critical care medicine nurse practitioner in Jackson, MS with 16 years of experience. Katie Elisabeth Rattray, CRNP NPI is 1902196652. 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 NORTH STATE STREET
DEPARTMENT OF MEDICINE, DIVISION OF CARDIOLOGY
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5678
Fax: (601) 984-5638

The NPI 1902196652 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 4/14/2011 and was last updated on 7/22/2014.

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:

Other Identifiers

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

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