Provider Demographics
NPI:1619987427
Name:MCGEHEE, DEBBIE ELIZABETH (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:ELIZABETH
Last Name:MCGEHEE
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EAST MONROE STREET
Mailing Address - Street 2:
Mailing Address - City:GRENADA
Mailing Address - State:MS
Mailing Address - Zip Code:38901-4080
Mailing Address - Country:US
Mailing Address - Phone:662-226-0600
Mailing Address - Fax:662-226-0644
Practice Address - Street 1:100 EAST MONROE STREET
Practice Address - Street 2:
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-4080
Practice Address - Country:US
Practice Address - Phone:662-226-0600
Practice Address - Fax:662-226-0644
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS745671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00115715Medicaid
MS500001611Medicare ID - Type Unspecified
MS00115715Medicaid