Mindy Butler, PA-C
Physician Assistant in Jackson, Mississippi
1144841396- Practice location
- 1850 Chadwick Dr, Jackson, MS 39204-3404
- Phone
- 855-863-9595
- Fax
- 706-868-8375
- Last updated
- April 29, 2022
Mindy Butler is a Physician Assistant based in Jackson, MS. Mindy Butler practices in Jackson, MS and has the professional credentials of PA-C. The NPI Number for Mindy Butler is 1144841396 and holds a License No. 026091-01 (NY). The current practice location address for Mindy Butler is 1850 Chadwick Dr, Jackson, MS 39204-3404 and can be reached out via phone at 855-863-9595 and via fax at 706-868-8375.
Provider Profile Details
- NPI Number
- 1144841396
- Provider Name
- Mindy Butler
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1850 Chadwick Dr, Jackson, MS 39204-3404
- Phone Number
- 855-863-9595
- Fax Number
- 706-868-8375
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 29, 2020
- Last Update Date
- April 29, 2022
- Certification Date
- April 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1850 Chadwick Dr
Jackson, MS 39204-3404 - City
- Jackson
- State
- Mississippi
- Zip
- 39204-3404
- Phone Number
- 855-863-9595
- Fax Number
- 706-868-8375
Provider Business Mailing Address Details
- Address
- Po Box 3726
Augusta, GA 30914-3726 - City
- Augusta
- State
- GA
- Zip
- 30914-3726
- Phone Number
- 706-863-9595
- Fax Number
- 706-868-8375
License Information
- License Number (1)
- 026091-01
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PS00583
- License State (2)
- MS
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mindy Butler, PA-C?
The NPI number of Mindy Butler, PA-C is 1144841396. It was assigned on April 29, 2020 and is currently active in the NPPES registry.
What is the specialty of Mindy Butler, PA-C?
Mindy Butler, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 026091-01.
Where does Mindy Butler, PA-C practice?
The practice location is 1850 Chadwick Dr, Jackson, MS 39204-3404. The office can be reached at 855-863-9595 (phone) or 706-868-8375 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144841396 directly on the NPPES registry website.