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Individual

MRS. LORI BETH BRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1227 N STATE ST, STE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Mailing address
1227 N STATE ST, STE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865418
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08234791
MS
Enumeration date
10/31/2008
Last updated
04/27/2022
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