Individual
MISS LASHUNDRA SHANETT SPEIGHTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
(601) 422-0431
Mailing address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
(601) 422-0431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R885675
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108077
—
MS
Enumeration date
04/15/2015
Last updated
06/09/2016
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