Individual
MRS. WANDA LYNETTE LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11045 BAYLOR RD, MERIDIAN, MS 39305
(601) 627-5170
Mailing address
4820A POPLAR SPRINGS DR # 169, MERIDIAN, MS 39305-2624
(601) 627-5170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R851590
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09335811
—
MS
Enumeration date
04/28/2009
Last updated
05/31/2023
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