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Contact Information

MARY K FOUQUIER, PHD, RN, CNM
1207 N WEST ST
JACKSON, MS39202-2018
 Phone: 601-354-6654
 Fax: 601-354-6289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY K FOUQUIER · (Female)

NPI Number 1396017646
Status Active
Credentials PHD, RN, CNM
Entity Individual
Enumeration date 02/02/2012
Last updated 05/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R887487
  • TN License # 25784
  • MS Medicaid 03285886
Hospital affiliation(s) Not Available
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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