Individual
LYNN NEVELS WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
107 CHURCH ST, BELZONI, MS 39038-3929
(662) 247-4849
Mailing address
1039 S KING RD, PURVIS, MS 39475-3209
(256) 616-3681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903131
MS
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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