Individual
MRS. HANNAH E MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7283
(601) 425-5544
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7283
(601) 425-5544
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R821702
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R821702
NP MEDICAL LICENSE
MS
Enumeration date
01/09/2007
Last updated
02/10/2023
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