Individual
ALEXIS SHAVONE LUMPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
5201 LAKELAND BLVD APT S192, FLOWOOD, MS 39232-8916
(601) 850-4579
Mailing address
10 CANEBRAKE BLVD STE 203, FLOWOOD, MS 39232-2211
(601) 850-4579
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323078
MS
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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