| Dylan Pittman, FNP | |
|
1238 Highway 42, Sumrall, MS 39482-9519 | |
| (601) 758-3100 | |
| Not Available |
| Full Name | Dylan Pittman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1238 Highway 42, Sumrall, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437964293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 907255 (Mississippi) | Primary |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan Pittman, FNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 264-6000 | Dylan Pittman, FNP 1238 Highway 42, Sumrall, MS 39482-9519 Ph: (601) 758-3100 |
Lindsey Boswell, APRN FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Parrish Rd, Sumrall, MS 39482 Phone: 601-410-3262 | |
Sarah M Wainwright, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060 | |
Mrs. Jamie Elaine Thornton, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 | |
Leslie Rollins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4881 Highway 589, Sumrall, MS 39482 Phone: 601-336-9099 Fax: 601-550-6184 | |
Aimmee Rochelle Chestang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Chastain Ln, Sumrall, MS 39482 Phone: 601-807-0921 | |
Lauren M Walters, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060 |