Individual
LINDSEY TATUM STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
(601) 815-1631
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
(601) 815-1631
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
883204
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
901759
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04675362
—
MS
Enumeration date
09/22/2016
Last updated
12/08/2021
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