Individual
LACY DIANE ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
26 3RD ST, BELMONT, MS 38827-7737
(662) 454-4520
(662) 454-4521
Mailing address
26 3RD ST, BELMONT, MS 38827-7737
(662) 454-4520
(662) 452-4521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904090
MS
Other
Enumeration date
09/10/2020
Last updated
02/21/2024
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