Individual
REGAN LAYNE TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1190 N STATE ST STE 202, JACKSON, MS 39202-2463
(601) 968-0894
Mailing address
1190 N STATE ST STE 202, JACKSON, MS 39202-2463
(601) 968-0894
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905494
MS
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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