Individual
MS. LINDA LIGHTSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(288) 865-3330
(228) 867-4873
Mailing address
13462 ADDISON AVE, GULFPORT, MS 39503-7026
(228) 865-3330
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R623423
MS
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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