Individual
MRS. SHERRY MARIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1004 N 30TH AVE, HATTIESBURG, MS 39401-4616
(601) 606-0721
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
869026
MS
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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