Individual
MS. OLLIE LORAINE HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
1400 J R LYNCH ST, JACKSON, MS 39217-0002
(601) 979-2260
(601) 979-2003
Mailing address
1400 J R LYNCH ST, P.O. BOX 17097, JACKSON, MS 39217-0002
(601) 979-2260
(601) 979-2003
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
R510769
MS
363LW0102X
Women's Health Nurse Practitioner
Primary
R510769
MS
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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