Individual
KAREN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
64 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 909-9390
(601) 909-9389
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-0231
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R850033
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06576706
—
MS
Enumeration date
06/27/2011
Last updated
03/19/2024
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