person
Lacie A Brackeen, CFNP
Family Nurse Practitioner in Leland, Mississippi
NPI 1336490713

Lacie A Brackeen is a Family Nurse Practitioner based in Leland, MS and is specialized in Family. Lacie A Brackeen practices in Leland, MS and has the professional credentials of CFNP. The NPI Number for Lacie A Brackeen is 1336490713 and holds a License No. R858018 (Mississippi).

The current practice location address for Lacie A Brackeen is 201 Baker Blvd, Leland, MS and can be reached out via phone at 662-686-4121 and via fax at 662-686-4770.

Location: 201 Baker Blvd, Leland, MS, 38756-3401
person
Provider Profile Details
NPI Number
1336490713
Provider Name
Lacie A Brackeen
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
201 Baker Blvd, Leland, MS, 38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
Provider Enumeration Date
09/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06425036 05 MS
institution
Provider Business Practice Location Address Details
Address
201 Baker Blvd
City
State
Zip
38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider Business Mailing Address Details
Address
201 Baker Blvd
City
State
Zip
38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R858018 (Mississippi)
Definition
Definition to come...
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