Christie C Hull, CFNP

Individual provider Active NPI Family Nurse Practitioner · Ridgeland, MS

NPI 1215020193 · NPPES record last updated Sep 9, 2020

Key facts

NPI
1215020193
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
R748942 (MS)
Practice address
305 Highway 51
Ridgeland, MS 39157-3428
Phone
(601) 856-9980
Fax
(601) 856-9994
NPI assigned
Oct 2, 2006
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)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R748942MSMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R748942 MS Yes

Addresses

Primary practice location

305 Highway 51
Ridgeland, MS 39157-3428

Mailing address

305 Highway 51
Ridgeland, MS 39157-3428
Phone (601) 856-9980

Other identifiers

IdentifierTypeStateIssuer
00120566MedicaidMS

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address christie.hull.1@4695.direct.athenahealth.com

Other providers in Ridgeland, MS

All providers in Ridgeland, MS · Family Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.