Individual
BINU PANNACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 JEFFERSON DAVIS BLVD STE 100, NATCHEZ, MS 39120-5120
(601) 273-3554
(601) 653-9589
Mailing address
150 JEFFERSON DAVIS BLVD STE 100, NATCHEZ, MS 39120-5120
(601) 273-3554
(601) 653-9589
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
902441
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08452308
—
MS
05
—
2478893
—
LA
Enumeration date
12/15/2017
Last updated
01/09/2019
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