person
Mrs. Lisa Deloris Slade, FNP-BC
Family Nurse Practitioner in Hattiesburg, Mississippi
NPI 1013080027

Lisa Deloris Slade is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Lisa Deloris Slade practices in Hattiesburg, MS and has the professional credentials of FNP-BC. The NPI Number for Lisa Deloris Slade is 1013080027 and holds a License No. R772518 (Mississippi).

The current practice location address for Lisa Deloris Slade is 605 Stadium Dr, Hattiesburg, MS and can be reached out via phone at 601-450-0310 and via fax at 601-450-0321. You can also correspond with Lisa Deloris Slade through the mailing address at PO BOX 1729, HATTIESBURG, MS - 39403-1729 (mailing address contact number: 601-545-3700).

Location: 605 Stadium Dr, Hattiesburg, MS, 39403-1729
person
Provider Profile Details
NPI Number
1013080027
Provider Name
Lisa Deloris Slade
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
605 Stadium Dr, Hattiesburg, MS, 39403-1729
Phone Number
601-450-0310
Fax Number
601-450-0321
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
08700008 05 MS
11838342 01 MS CAQH ID #
1719640P01 01 MS CIGNA
1043492770 01 MS FIRST CHOICE OF MISSISSIPPI
2888996 01 MS UNITED HEALTH CARE
9989130 01 MS AETNA
institution
Provider Business Practice Location Address Details
Address
605 Stadium Dr
City
State
Zip
39401-4156
Phone Number
601-450-0310
Fax Number
601-450-0321
person
Provider Business Mailing Address Details
Address
605 Stadium Dr
City
State
Zip
39401-4156
Phone Number
601-450-0310
Fax Number
601-450-0321
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R772518 (Mississippi)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Hattiesburg, Mississippi: