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Contact Information

MARY E BURES, CFNP
2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY
JACKSON, MS39216-4500
 Phone: 601-984-5630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARY E BURES · (Female)

NPI # 1346260486
Status Active
Credentials CFNP
Entity Individual
Enumeration date 07/20/2006
Last updated 08/27/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R672637
  • AL Medicaid 106067
  • MS Medicaid 00114578
  • MS Other RR 00229425 RAILROAD
  • MS Other P00462300 RAILROAD MEDICARE PTAN
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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