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Individual

HEATHER LLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
201 BAKER BLVD, LELAND, MS 38756
(662) 686-4121
(662) 686-4770
Mailing address
201 BAKER BLVD, LELAND, MS 38756-3401
(662) 686-4121
(662) 686-4770

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R862588
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03026010
MS
01
P00337752
RR MEDICARE
MS
Enumeration date
06/17/2006
Last updated
07/30/2019
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