Individual
LORI SUZONNE FOXWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
901608
MS
363LF0000X
Family Nurse Practitioner
Primary
901608
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06122531
—
MS
Enumeration date
09/08/2016
Last updated
05/27/2020
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