Individual
LISA S WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Mailing address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R717053
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114396
—
MS
Enumeration date
10/03/2006
Last updated
12/16/2009
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