Individual
SHAKEVA LUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
340 VAN DORN ST, GRENADA, MS 38901-4738
(662) 520-8663
Mailing address
340 VAN DORN ST, GRENADA, MS 38901-4738
(662) 520-8663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905377
MS
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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