Lydia Jackson Lovell CRNP

NPI 1164619144 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1164619144
Gender Female
Enumeration Date 10/03/2007
Last Updated 04/30/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
2301 E CHAMBERS DR
BOONEVILLE MS, 38829-8903, US
Phone (662) 720-4816
Fax (662) 720-4832
Business Location
2301 E CHAMBERS DR
BOONEVILLE MS, 38829-8903, US
Phone (662) 720-4816
Fax (662) 720-4832
Toxanomy
Taxonomy Code 363LF0000X
License State Mississippi
License Number R872071
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According to our database, Mrs. Lydia Jackson Lovell CRNP NPI is 1164619144, taxonomy code is 363LF0000X and license number is R872071, license state is located at Mississippi. Lydia Jackson Lovell CRNP physically located at 2301 E Chambers Dr, Booneville MS, 38829-8903. NPI Number Lydia Jackson Lovell CRNP has the Individual type.

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1164619144 NPI number is provided on an as is basis without warranty of any kind. 1164619144 is maintained by the National Plan & Provider Enumeration System. The contents of Lydia Jackson Lovell CRNP are for informational purposes only.