Mrs Theresa Danyell Mckissick, APRN | |
365 Wire Rd W, Perkinston, MS 39573-5723 | |
(601) 528-1496 | |
Not Available |
Full Name | Mrs Theresa Danyell Mckissick |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 365 Wire Rd W, Perkinston, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962100347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 905796 (Mississippi) | Primary |
Entity Name | Relias Emergency Medicine Specialists Of Hattiesburg Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970 |
Entity Name | Rh Hospitalist Medicine Of Marion General Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801660170 PECOS PAC ID: 2567815384 Enrollment ID: O20240129002254 |
Entity Name | Rh Emergency Medicine Of Highland Community Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033987946 PECOS PAC ID: 4587017918 Enrollment ID: O20240201000844 |
Entity Name | Rh Hospitalist Medicine Of Highland Community Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841068756 PECOS PAC ID: 8022451038 Enrollment ID: O20240207000363 |
Mailing Address | Practice Location Address |
---|---|
Mrs Theresa Danyell Mckissick, APRN 365 Wire Rd W, Perkinston, MS 39573-5723 Ph: (601) 528-1496 | Mrs Theresa Danyell Mckissick, APRN 365 Wire Rd W, Perkinston, MS 39573-5723 Ph: (601) 528-1496 |
Deven Nicole Fejka, CFNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 204 Shawtown Rd, Perkinston, MS 39573 Phone: 601-916-0665 | |
Ms. Cassey Marie Cuevas, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Parker Rd, Perkinston, MS 39573 Phone: 228-224-0371 |