Individual
LUCY LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3126 16TH AVE, MERIDIAN, MS 39305-4733
(601) 227-0378
Mailing address
3126 16TH AVE, MERIDIAN, MS 39305-4733
(601) 227-0378
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
906465
MS
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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