Micah a Ladner FNP-C LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

901609 Issued in MS

Legal business name

MICAH A LADNER FNP-C LLC

Practice address

22549 Fenton Dedeaux Rd
Kiln, MS 39556-6576

Phone

(228) 493-3404

Fax

(228) 493-3404

NPI assigned

May 26, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Micah Anthony Ladner, FNP

Title

Owner

Phone

(228) 493-3404

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1861920407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6571",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395256501",
            "telephone_number": "228-493-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22549 FENTON DEDEAUX RD",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395566576",
            "telephone_number": "228-493-3404",
            "fax_number": "228-493-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH A LADNER FNP-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "LADNER",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-493-3404",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandon Wade Saksa
• Bonnie T. Sins

• Family Nurse Practitioner in Kiln, MS
• Providers in Kiln, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.