Basic Information
| Provider Information | |||||||||
| NPI: | 1104271931 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COX | ||||||||
| FirstName: | RHONDA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MSN, FNP-C/AGACNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 415 S 28TH AVE | ||||||||
| Address2: | |||||||||
| City: | HATTIESBURG | ||||||||
| State: | MS | ||||||||
| PostalCode: | 394017246 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6017922071 | ||||||||
| FaxNumber: | 6015795240 | ||||||||
| Practice Location | |||||||||
| Address1: | 1014 ROSE ST | ||||||||
| Address2: | |||||||||
| City: | PRENTISS | ||||||||
| State: | MS | ||||||||
| PostalCode: | 394745271 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6017922071 | ||||||||
| FaxNumber: | 6017928134 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2016 | ||||||||
| LastUpdateDate: | 02/24/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 901571 | MS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 09937001 | 05 | MS | MEDICAID |