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Ms. Zenotha Larry, NP
Women's Health Nurse Practitioner in Jackson, Mississippi
NPI 1659615557

Zenotha Larry is a Women's Health Nurse Practitioner based in Jackson, MS and is specialized in Women's Health. Zenotha Larry practices in Jackson, MS and has the professional credentials of NP. The NPI Number for Zenotha Larry is 1659615557 and holds a License No. R877587 (Mississippi).

The current practice location address for Zenotha Larry is 3502 W Northside Dr, Jackson, MS and can be reached out via phone at 601-362-5321.

Location: 3502 W Northside Dr, Jackson, MS, 39213-4454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659615557
Provider Name
Zenotha Larry
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3502 W Northside Dr, Jackson, MS, 39213-4454
Phone Number
601-362-5321
Fax Number
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R877587 01 MS MISSISSIPPI
institution
Provider Business Practice Location Address Details
Address
3502 W Northside Dr
City
Jackson
State
Mississippi
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
person
Provider Business Mailing Address Details
Address
3502 W Northside Dr
City
Jackson
State
Mississippi
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
R877587 (Mississippi)
Definition
Definition to come...
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