Individual
LAJUANA YEVETTE NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1435 GRAND AVE, YAZOO CITY, MS 39194-2651
(601) 859-9888
(601) 859-9004
Mailing address
PO BOX 22727, JACKSON, MS 39225-2727
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R629979
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00831537
—
MS
01
—
298508YJ9C
MEDICARE
MS
Enumeration date
07/19/2011
Last updated
10/11/2017
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