Individual
MS. MEMORY M LOFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1410 E WOODROW WILSON AVE, JACKSON, MS 39216-5114
(601) 984-6525
Mailing address
440 E WOODROW WILSON AVE, JACKSON, MS 39216-4526
(601) 984-6525
(601) 815-0334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904167
MS
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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