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MICAH A LADNER FNP-C LLC
NPI 1861920407
Nurse Practitioner - Family in Kiln, MS

Active since May 26, 2017
22549 FENTON DEDEAUX RD, KILN, MS 39556(228) 493-3404(228) 493-3404 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Micah A Ladner Fnp-c Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAH A LADNER FNP-C LLC (NPI 1861920407) is a healthcare organization registered as a family in Kiln, Mississippi and active in the NPI registry since May 2017. The organization lists Micah Anthony Ladner, Owner, as its authorized official.

NPPES Registry Identity

NPI1861920407
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMICAH A LADNER FNP-C LLC
Location Address22549 FENTON DEDEAUX RDKiln, MS 39556-6576
Mailing AddressPo Box 6571Diamondhead, MS 39525-6501 · (228) 493-3404
Phone(228) 493-3404
Fax(228) 493-3404
Organization SubpartNo
Authorized OfficialMicah Anthony LadnerOwner · (228) 493-3404
Enumeration DateMay 26, 2017
✔ NPI 1861920407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 901609
22549 FENTON DEDEAUX RD, Kiln, MS 39556
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah A Ladner Fnp-C LLC's NPI number?

The NPI number for Micah A Ladner Fnp-C LLC is 1861920407. It was assigned to this organization in the NPPES registry on May 26, 2017.

Where is Micah A Ladner Fnp-C LLC located?

Micah A Ladner Fnp-C LLC is located at 22549 Fenton Dedeaux Rd, Kiln, MS 39556. The listed phone number is (228) 493-3404.

What is Micah A Ladner Fnp-C LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Micah A Ladner Fnp-C LLC was last updated on May 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.