Angela Bratton
Individual provider Active NPI Personal Care Attendant · Clinton, MS
NPI 1992178958 · NPPES record last updated Nov 12, 2015
Key facts
- NPI
- 1992178958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1219 Rockingham Dr
Clinton, MS 39056-3543 - Phone
- (601) 937-0012
- Fax
- (601) 510-9242
- NPI assigned
- Nov 12, 2015
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1219 Rockingham Dr
Clinton, MS 39056-3543
Mailing address
1219 Rockingham Dr
Clinton, MS 39056-3543
Phone (601) 937-0012
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05378211 | Medicaid | MS | |
| 00038718 | Medicaid | MS |
Other providers in Clinton, MS
- Spencer K Boothe
- Blake Bostick
- Boujee Bodies Wellness Spa, LLC
- Kimberly Charmaine Branson Williams
- Elizabeth Grace Braswell
- Janna Breland
- Allisha Brent-Rhodes
- Jazzmen Briscoe
- Bria Broussard
- Cecile Brown Davis
All providers in Clinton, MS · Personal Care Attendant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2015. 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.