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Contact Information

MARISSA BUCHANAN, NP
4909 GREAT RIVER DR
MERIDIAN, MS39305
 Phone: 601-282-8980
 Fax: 601-693-6561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARISSA BUCHANAN · (Female)

NPI Number 1073212833
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/01/2023
Last updated 04/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 905834
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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