Individual
DORIS PLUNKETT SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 COURT SQ, LEXINGTON, MS 39095-3638
(662) 834-1721
(662) 450-8088
Mailing address
22741 HIGHWAY 12, LEXINGTON, MS 39095-3118
(662) 834-1721
(662) 834-1721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R589101
MS
363LG0600X
Gerontology Nurse Practitioner
R589101
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117094
—
MS
01
—
258908
RHC PROVIDER NUMBER
—
01
—
R589101
RN LICENSE NUMBER
MS
Enumeration date
01/30/2007
Last updated
03/27/2025
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