SearchMississippiSupports Brokerage Agency

Donna Ainsworth

NPI 1518336155 · on the registry since 2015 · sole proprietor

Practice

Address
1240 Thomas Dr
Laurel, MS 39440
Phone
(601) 606-1521
Fax
(601) 651-4002

Registry record

Primary taxonomy
Supports Brokerage Agency
251X00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-24
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi