Patrich Mann, R.N.
Individual provider Active NPI Home Health Registered Nurse · Terry, MS
NPI 1033554696 · NPPES record last updated May 8, 2013
Key facts
- NPI
- 1033554696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- R866849 (MS)
- Practice address
- 118 Levon Owens Dr
Terry, MS 39170-9696 - Phone
- (601) 720-5460
- Fax
- (601) 878-0687
- NPI assigned
- May 8, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R866849 | MS | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R866849 | MS | Yes |
Addresses
Primary practice location
118 Levon Owens Dr
Terry, MS 39170-9696
Mailing address
118 Levon Owens Dr
Terry, MS 39170-9696
Phone (601) 720-5460
Other providers in Terry, MS
- George Reginald Johnson
- Wayne Anthony Johnson
- Tanaka Knigh
- Laird Diagnostics LLC
- Lester Marketing Inc
- Christopher Dwayne Massey
- N Sight Mental Health Clinic PLLC
- Anna W Oberhousen
- Parker Medical Services, LLC
- Aaron Parker
All providers in Terry, MS · Home Health Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.