Individual
MR. ROBERT STEVEN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5065
(601) 984-2962
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 214-2837
(601) 815-3322
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R886819
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04558033
—
MS
05
—
194481
—
MS
01
—
P01788016
RAILROAD MEDICARE
MS
Enumeration date
07/15/2015
Last updated
03/22/2017
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