Mrs Ann Elizabeth Nicholson, is a
Student In An Organized Health Care Education/training Program based in Hattiesburg, Mississippi. Mrs Ann Elizabeth Nicholson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3688 Veteran Memorial Drive, Hattiesburg, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 554-7400.
NPI number for Mrs Ann Elizabeth Nicholson is 1467242594 and her current mailing address is 74 Aultman Rd, Sumrall, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467242594.
Provider's Profile
| Full Name | Mrs Ann Elizabeth Nicholson |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3688 Veteran Memorial Drive, Hattiesburg, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467242594
- Provider Enumeration Date: 05/12/2025
- Last Update Date: 05/30/2025
Medical Identifiers
Medical identifiers for Mrs Ann Elizabeth Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467242594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ann Elizabeth Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Ann Elizabeth Nicholson,
74 Aultman Rd,
Sumrall, MS 39482-4026
Ph: (601) 569-9614 | Mrs Ann Elizabeth Nicholson,
3688 Veteran Memorial Drive,
Hattiesburg, MS 39401
Ph: (601) 554-7400 |
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