Individual
ELIZABETH STARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322
Mailing address
2500 NORTH STATE STREET, DEPT OF SURGERY, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R856020
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09133813
—
MS
Enumeration date
10/17/2006
Last updated
01/24/2017
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