person
Anne P Berthold, FNP
Family Nurse Practitioner in Jackson, Mississippi
NPI 1821092479

Anne P Berthold is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Anne P Berthold practices in Jackson, MS and has the professional credentials of FNP. The NPI Number for Anne P Berthold is 1821092479 and holds a License No. R845073 (Mississippi).

The current practice location address for Anne P Berthold is 1227 N State St, Jackson, MS and can be reached out via phone at 601-355-2485 and via fax at 601-353-1463.

Location: 1227 N State St, Jackson, MS, 39202-2002
person
Provider Profile Details
NPI Number
1821092479
Provider Name
Anne P Berthold
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1227 N State St, Jackson, MS, 39202-2002
Phone Number
601-355-2485
Fax Number
601-353-1463
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00121962 05 MS
1432652 05 LA
institution
Provider Business Practice Location Address Details
Address
1227 N State St
City
State
Zip
39202-2002
Phone Number
601-355-2485
Fax Number
601-353-1463
person
Provider Business Mailing Address Details
Address
1227 N State St
City
State
Zip
39202-2002
Phone Number
601-355-2485
Fax Number
601-353-1463
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R845073 (Mississippi)
Definition
Definition to come...
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