Ambroshia Hope

Individual provider Active NPI Registered Nurse · Ruleville, MS

NPI 1396208708 · NPPES record last updated Apr 11, 2019

Key facts

NPI
1396208708
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
892011 (MS)
Practice address
840 N Oak Ave
Ruleville, MS 38771-3227
Phone
(662) 756-4000
NPI assigned
Apr 11, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
892011MSMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 892011 MS Yes

Addresses

Primary practice location

840 N Oak Ave
Ruleville, MS 38771-3227

Mailing address

840 N Oak Ave
Ruleville, MS 38771-3227

Other providers in Ruleville, MS

All providers in Ruleville, MS · Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.