Individual
MS. DEBORAH A HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
92 RATLIFF ST, LUCEDALE, MS 39452-6537
(601) 947-8181
(601) 947-4411
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 947-8181
(601) 947-4411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-049783
AL
363LF0000X
Family Nurse Practitioner
Primary
R865909
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07739398
—
MS
01
—
3979885804
DOT ID#
MS
Enumeration date
07/31/2006
Last updated
04/02/2014
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