Provider Demographics
NPI:1154319481
Name:DURANT, HELEN FOUCHE (APRN)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:FOUCHE
Last Name:DURANT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4612 HIGHWAY 49 E
Mailing Address - Street 2:
Mailing Address - City:YAZOO CITY
Mailing Address - State:MS
Mailing Address - Zip Code:39194-2318
Mailing Address - Country:US
Mailing Address - Phone:662-751-2535
Mailing Address - Fax:662-751-2465
Practice Address - Street 1:4612 HIGHWAY 49 E
Practice Address - Street 2:
Practice Address - City:YAZOO CITY
Practice Address - State:MS
Practice Address - Zip Code:39194-2318
Practice Address - Country:US
Practice Address - Phone:662-751-2535
Practice Address - Fax:662-751-2465
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR625248363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03278771Medicaid
MS500001380Medicare ID - Type Unspecified
MSS10713Medicare UPIN