Individual
SCOTIE MOELLER LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(225) 938-0050
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901701
MS
Other
Enumeration date
01/13/2017
Last updated
04/07/2017
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