Nichole C Horn, PA Valid NPI
Individual provider · Physician Assistant · Hattiesburg, MS
- NPI
- 1467682385
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA00117 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-07-27
- Last updated
- 2016-03-11
Practice location
415 S 28th Ave
Hattiesburg, MS 39401-7246
(601) 579-5010