Individual ProviderEmily KeyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6414 Highway 98 W, Suite 120, Hattiesburg, MS 39402(601) 296-2833PECOS EnrollmentBased on the most recent information from CMS, provider Emily Key is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1821525593Provider TypeIndividualFull NameKey, EmilyCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date5/12/2017Last Updated6/4/2020Contact InformationPractice LocationPractice Address6414 Highway 98 W, Suite 120, Hattiesburg, MS 39402Phone(601) 296-2833Fax(601) 261-1156Mailing LocationMailing Address415 S 28th Ave, Hattiesburg, MS 39401-7246Phone(601) 296-2833Fax(601) 579-5240Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense901994MississippiCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense901994MississippiProvider IdentifiersIDDescriptionIssuerID02951367DescriptionMedicaidIssuerUnlistedMississippi