Individual
MRS. LULA OWENS HOSKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-4292
(662) 624-4354
Mailing address
800 OHIO AVENUE, CLARKSDALE, MS 38614-7200
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R699373
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126269
—
MS
01
—
158963758
MEDICAID
AR
Enumeration date
07/07/2006
Last updated
07/27/2015
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