Individual
BRIANNA DEWEESE LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
455 N COURT AVE, LOUISVILLE, MS 39339
(769) 230-9423
(769) 230-9423
Mailing address
455 N COURT AVENUE, LOUISVILLE, MS 39339
(769) 230-9423
(769) 230-9423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902742
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01828592
—
MS
Enumeration date
09/06/2018
Last updated
10/09/2024
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