Individual
LASHONDRA J FARMER-WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
145 RAYMOND ROAD, JACKSON, MS 39204-3802
(601) 362-5321
(601) 364-5159
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 354-5159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865735
MS
Other
Enumeration date
06/27/2007
Last updated
07/20/2012
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