Individual
PATRICIA CHEVIS RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, RNFA
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5800
(601) 261-3530
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
901837
MS
363LF0000X
Family Nurse Practitioner
Primary
901837
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00130012
—
MS
Enumeration date
12/20/2016
Last updated
07/30/2020
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