Individual
LASHAUNDA WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2525 TELEPHONE RD, PASCAGOULA, MS 39567-3202
(228) 762-4483
Mailing address
2525 TELEPHONE RD, PASCAGOULA, MS 39567-3202
(228) 762-4483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903480
MS
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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