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Individual

CHRISTIE LADNER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6051 HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
212 HILLMAN RD, POPLARVILLE, MS 39470-7427
(601) 795-4105

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R856861
MS
363L00000X
Nurse Practitioner
Primary
R856861
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02102891
MS
Enumeration date
06/09/2006
Last updated
02/05/2018
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