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Contact Information

CAROL A BUCKELS, FNP-BC
201 S RAILROAD AVE
BROOKHAVEN, MS39601-3331
 Phone: 601-835-0077
 Fax: 601-835-0095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CAROL A BUCKELS · (Female)

NPI Number 1972616332
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/17/2006
Last updated 06/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R550191
  • MS Medicaid 00124865
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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