LISA MICHELLE GANT

MERIDIAN, MS
NPI1255563771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R827388)
Enumeration Date2009-08-17
Last Update Date2016-11-10
Business Address
Mrs. LISA MICHELLE GANT FNP
1521 A 22ND AVENUE
MERIDIAN, MS 39301
Phone number: 601-703-8360
Mailing Address
Mrs. LISA MICHELLE GANT FNP
PO BOX 2839
MERIDIAN, MS 39302-2839
Phone number: 601-703-3496