NPI 1396017646

Mary K Fouquier, PHDRNCNM

Practitioner Advanced Practice Midwife Jackson, MS

Practice location

Address: 1207 N West St, Jackson, MS 39202-2018
Phone: (601) 354-6654
Fax: (601) 354-6289

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 25784 (TN)

Other Advanced Practice Midwife providers in Mississippi →

Obstetrics & Gynecology Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LX0001X Licence R887487 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1396017646
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2012
Record last updated: 12 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.