Individual
LACHARITY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
212 W PARK AVE, GREENWOOD, MS 38930-3009
(662) 453-8508
Mailing address
700 SUNSET DR, GRENADA, MS 38901-4091
(662) 307-2884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907782
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021
2021
—
Enumeration date
01/04/2021
Last updated
09/19/2025
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