Individual
LASHONA DUJUANTE MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1216 BERRYHILL TRAILER PARK, LYON, MS 38645-9777
(662) 645-1516
Mailing address
1216 BERRYHILL TRAILER PARK, LYON, MS 38645-9777
(662) 645-1516
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905992
MS
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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