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Lakisha Stevenson
Family Nurse Practitioner in Macon, Mississippi
NPI 1447022645

Lakisha Stevenson is a Family Nurse Practitioner based in Macon, MS and is specialized in Family. Lakisha Stevenson practices in Macon, MS. The NPI Number for Lakisha Stevenson is 1447022645 and holds a License No. 906209 (Mississippi).

The current practice location address for Lakisha Stevenson is 42 Shannon Ct, Macon, MS and can be reached out via phone at 662-708-1645.

Location: 42 Shannon Ct, Macon, MS, 39341-2665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447022645
Provider Name
Lakisha Stevenson
Credential
Provider Entity Type
Individual
Gender
Female
Address
42 Shannon Ct, Macon, MS, 39341-2665
Phone Number
662-708-1645
Fax Number
Provider Enumeration Date
10/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
42 Shannon Ct
City
Macon
State
Mississippi
Zip
39341-2665
Phone Number
662-708-1645
Fax Number
person
Provider Business Mailing Address Details
Address
42 Shannon Ct
City
Macon
State
Mississippi
Zip
39341-2665
Phone Number
662-708-1645
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
906209 (Mississippi)
Definition
Definition to come...
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