Individual
MRS. LACEY ANN GULLICK-JOINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
107 EUREKA ST, BATESVILLE, MS 38606-2599
(662) 563-7681
(662) 563-8911
Mailing address
107 EUREKA ST, BATESVILLE, MS 38606-2599
(662) 563-7681
(662) 563-8199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
877500
MS
363LF0000X
Family Nurse Practitioner
R877500
MS
Other
Enumeration date
09/09/2013
Last updated
09/28/2020
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