Individual
LISA YARBOROUGH ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
952 GREEN MEADOW RD, BAY SAINT LOUIS, MS 39520-1620
(228) 463-1649
(228) 463-0138
Mailing address
952 GREEN MEADOW RD, BAY SAINT LOUIS, MS 39520-1620
(228) 463-1649
(228) 463-0138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901585
MS
Other
Enumeration date
07/05/2016
Last updated
11/08/2021
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