KIERRIAH CALLIER DORTCH
Nurse Practitioner
Active
Individual
NPI: 1245866714
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 4704344323 (MI) |
| Nurse Practitioner - Women's Health | 363LW0102X | No | GAA-NP001530 (GA) |
| Nurse Practitioner | 363L00000X | Yes | 905181 (MS) |
Frequently Asked Questions
NPI 1245866714 is the National Provider Identifier for KIERRIAH CALLIER DORTCH, a Nurse Practitioner provider located in Hattiesburg, MS. This NPI was enumerated on March 17, 2020.
KIERRIAH CALLIER DORTCH practices at 314 S 25TH AVE, Hattiesburg, MS 39401.
Quick Facts
- NPI
- 1245866714
- Type
- Individual
- Enumerated
- Mar 17, 2020
- Last Updated
- Oct 24, 2024
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