Individual
LORI L MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5678
(601) 984-5638
Mailing address
301 FISHER STREET, KAFB, MS 39434
(228) 376-3059
(228) 376-0101
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R620017
MS
363LA2100X
Acute Care Nurse Practitioner
SP012528
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02825807
—
MS
Enumeration date
11/03/2008
Last updated
09/24/2020
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