Organization
LUMLEY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISSI ROBINSON (CREDENTIALING SPECIALIST)
(601) 248-7135
Entity
Organization
Contact information
Practice address
106 BRADY DR, BROOKHAVEN, MS 39601-3738
(601) 754-9411
Mailing address
327 N JACKSON ST, BROOKHAVEN, MS 39601-3041
(601) 754-9411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02232862
—
MS
Enumeration date
12/07/2021
Last updated
04/04/2024
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