Individual
MR. KEVIN HATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, AGACNP-BC
Contact information
Practice address
1600 22ND AVE, MERIDIAN, MS 39301-3223
(601) 483-5322
Mailing address
1020 DALEVILLE PRISMATIC RD, DALEVILLE, MS 39326-9627
(601) 938-1684
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
905149
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
905149
MISSISSIPPI BOARD OF NURSING
MS
Enumeration date
03/06/2020
Last updated
06/27/2024
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