Provider Demographics
NPI:1619862166
Name:DOSSETT, MARY KATHRYN (NP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:KATHRYN
Last Name:DOSSETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 HIGHWAY 49
Mailing Address - Street 2:
Mailing Address - City:SEMINARY
Mailing Address - State:MS
Mailing Address - Zip Code:39479-4395
Mailing Address - Country:US
Mailing Address - Phone:601-394-7875
Mailing Address - Fax:
Practice Address - Street 1:622 HIGHWAY 49
Practice Address - Street 2:
Practice Address - City:SEMINARY
Practice Address - State:MS
Practice Address - Zip Code:39479-4395
Practice Address - Country:US
Practice Address - Phone:601-394-7875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS907286363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily