Individual
MRS. YOSHIE SHERAY LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8900 MS HIGHWAY 15, ACKERMAN, MS 39735-3973
(662) 387-7167
Mailing address
PO BOX 242, ACKERMAN, MS 39735-0242
(662) 387-7167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R874350
MS
363LF0000X
Family Nurse Practitioner
Primary
R874350
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06681838
—
MS
01
—
R874350
STATE LICENSE
MS
Enumeration date
07/15/2014
Last updated
09/24/2021
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