Individual
LAVECHELLE PILLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5140 GALAXIE DR STE 105, JACKSON, MS 39206-4354
(601) 300-3935
Mailing address
15 JENNIFER CT, MADISON, MS 39110-8898
(769) 798-0729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901938
MS
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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