person
Ms. Detra La'quel Humphries, RN
Addiction (Substance Use Disorder) Registered Nurse in Jackson, Mississippi
NPI 1033805569

Detra La'quel Humphries is an Addiction (Substance Use Disorder) Registered Nurse based in Jackson, MS and is specialized in Addiction (Substance Use Disorder). Detra La'quel Humphries practices in Jackson, MS and has the professional credentials of RN. The NPI Number for Detra La'quel Humphries is 1033805569 and holds a License No. R865122 (Mississippi).

The current practice location address for Detra La'quel Humphries is 1935 Lakeland Dr Ste 900, Jackson, MS and can be reached out via phone at 601-718-2487.

Location: 1935 Lakeland Dr Ste 900, Jackson, MS, 39216-5028
person
Provider Profile Details
NPI Number
1033805569
Provider Name
Detra La'quel Humphries
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1935 Lakeland Dr Ste 900, Jackson, MS, 39216-5028
Phone Number
601-718-2487
Fax Number
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1935 Lakeland Dr Ste 900
City
State
Zip
39216-5028
Phone Number
601-718-2487
Fax Number
person
Provider Business Mailing Address Details
Address
1935 Lakeland Dr Ste 900
City
State
Zip
39216-5028
Phone Number
601-718-2487
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R865122 (Mississippi)
Definition
Definition to come...
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