Individual
LELOUISE TINDALL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 LAYFAIR DR, STE 120, FLOWOOD, MS 39232
(601) 932-0238
(601) 932-4391
Mailing address
1350 E WOODROW WILSON AVE, JACKSON, MS 39216
(601) 932-0238
(601) 932-4391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R855506
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05584391
—
MS
Enumeration date
10/21/2008
Last updated
11/03/2025
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