Darlenia T Andrews, NP
Individual provider Active NPI Nurse Practitioner · Jackson, MS
NPI 1902998537 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1902998537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R856040 (MS)
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 925-6805
- Fax
- (601) 926-4978
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Radiation Oncology Consultants, PLLC | Past | Accepting new patients | |
| University Surgery Associates, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R856040 | MS | Yes |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
PO Box 24146
Jackson, MS 39225-4146
Phone (601) 925-6805
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08275215 | Medicaid | MS |
Other providers in Jackson, MS
- Anderson'S Optique, Inc.
- Anamaria Andrei
- Rebekah Andrew Ayyasamy
- Andrew K. Dulaney, DMD
- Bentia Andrews
- Katrice Pacley Andrews
- Terinei Lorel Andrews
- Tory J Andrews
- Anesthesia Consultants PA
- Janet Theresa Angelo
All providers in Jackson, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. 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.