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Contact Information

ELLANIE L BESSONETTE, AGACNP
303 MARION AVE
MCCOMB, MS39648-2707
 Phone: 601-249-1350
 Fax: 601-249-1339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELLANIE L BESSONETTE · (Female)

NPI Number 1164815007
Status Active
Credentials AGACNP
Entity Individual
Enumeration date 03/17/2015
Last updated 02/03/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 882864
  • MS License # R882864
  • MS Medicaid 06079813
Hospital affiliation(s)
  • KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN - (Acute Care)
    P O BOX 948/427 HIGHWAY 51 NORTH
    BROOKHAVEN, MS 39601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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