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1063898286
LISA PARKER
JACKSON, MS
NPI
1063898286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 865864)
Enumeration Date
2015-08-11
Last Update Date
2024-07-31
Business Address
LISA PARKER
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-2000
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Mailing Address
LISA PARKER
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 601-200-6060
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