Individual
LISA NICOLE SLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3603 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5702
(228) 818-9620
(228) 818-9750
Mailing address
3603 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5702
(228) 818-9620
(228) 818-9750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-106412
AL
363L00000X
Nurse Practitioner
Primary
R893861
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-106412
ALABAMA LICENSE
AL
01
—
R893861
MISSISSIPPI LICENSE
MS
Enumeration date
07/28/2010
Last updated
06/11/2013
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