Individual
TREVALLA KAYE LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1134 WINTER ST, JACKSON, MS 39204-2841
(601) 948-5572
(601) 353-7070
Mailing address
108 HIDDEN HILLS DR, MADISON, MS 39110-8800
(601) 421-8778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902030
MS
Other
Enumeration date
05/23/2017
Last updated
03/17/2018
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