Individual
LENORA GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1423 PALMETTO RD, VERONA, MS 38879
(662) 566-5593
Mailing address
PO BOX 429, VERONA, MS 38879-0429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R112510
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118580
—
MS
Enumeration date
12/12/2006
Last updated
07/08/2007
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