Deyanna Buckner
Technician, Attendant Care Provider in Jackson, MS. Individual provider (NPI-1).
NPI number1336797372
StatusActive
Last updated in NPPESSep 24, 2021
Details
- NPI
- 1336797372
- Entity type
- Individual (NPI-1)
- Name
- Deyanna Buckner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2019
- Certification date
- Sep 24, 2021
- Last updated
- Sep 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
1645 Dorgan StJackson, MS 39204-4306
Phone 601-940-4942
Mailing address
1645 Dorgan StJackson, MS 39204-4306
Phone 601-940-4942
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All 12 Attendant Care Provider providers in Jackson · All 8,702 providers in Jackson
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