Individual
BROOK CHANNELLE HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2500 N STATE ST, CARDIOVASCULAR INTENSIVE CARE UNIT, JACKSON, MS 39216-4500
(601) 815-1575
(601) 815-1577
Mailing address
2500 N STATE ST, CARDIOVASCULAR INTENSIVE CARE UNIT, JACKSON, MS 39216-4500
(601) 815-1575
(601) 815-1577
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R880244
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02739555
—
MS
01
—
P01620203
RAILROAD MEDICARE
MS
Enumeration date
07/08/2014
Last updated
10/14/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us