Individual
LISA AKRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
951 MATTHEW DR STE A, WAYNESBORO, MS 39367-2566
(601) 735-2401
(601) 735-5205
Mailing address
951 MATTHEW DR STE A, WAYNESBORO, MS 39367-2566
(601) 735-2401
(601) 735-5205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903791
MS
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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