Individual
CHRISTY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
215 KATHERINE DR, FLOWOOD, MS 39232-9588
(601) 665-4162
Mailing address
108 N BROOKS ST, PONTOTOC, MS 38863-2102
(662) 266-8954
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
904974
MS
Other
Enumeration date
04/23/2020
Last updated
11/04/2024
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