Individual
MRS. SANDRA S LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY, JACKSON, MS 39216-4505
(601) 984-4241
(601) 815-6465
Mailing address
2500 N STATE ST, CARDIOLOGY, JACKSON, MS 39216-4500
(601) 984-5678
(601) 984-5638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R823654
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09629565
—
MS
Enumeration date
04/23/2009
Last updated
07/22/2014
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