Individual
MRS. MOLLY DALLAS LEMOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
161 MONTGOMERY ST STE D, MADISON, MS 39110-1118
(601) 790-7039
Mailing address
161 MONTGOMERY ST STE D, MADISON, MS 39110-1118
(601) 790-7039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907062
MS
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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