Individual
REGINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6050 U S HIGHWAY 49, HATTIESBURG, MS 39401-7366
(601) 336-7405
Mailing address
6050 U S HIGHWAY 49, HATTIESBURG, MS 39401-7366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865513
MS
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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