Individual
DEBORAH A HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,FNP-BC
Contact information
Practice address
4077 PEMBERTON SQUARE BLVD, VICKSBURG, MS 39180-5580
(601) 638-8600
(601) 638-8661
Mailing address
4077 PEMBERTON SQUARE BLVD, VICKSBURG, MS 39180-5580
(601) 638-8600
(601) 638-8661
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R764566
MS
363L00000X
Nurse Practitioner
Primary
R764566
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125362
—
MS
05
—
1140503
—
LA
Enumeration date
07/05/2006
Last updated
10/29/2014
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