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Contact Information

VICTORIA MANSFIELD, PA
2670 MCINGVALE RD STE J
HERNANDO, MS38632-8696
 Phone: 901-259-1600
 Fax: 901-259-1698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for VICTORIA MANSFIELD · (Female)

NPI # 1255895017
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/25/2019
Last updated 04/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MS License # PA00419
  • TN License # 3785
  • MS Other PA00419 MS LICENSE
  • TN Other 3785 TN LICENSE
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL DESOTO - (Acute Care)
    7601 SOUTHCREST PARKWAY
    SOUTHAVEN, MS 38671
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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