LISSA KELLY BABER

GULFPORT, MS
NPI1306409040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  903259)
Enumeration Date2019-04-18
Last Update Date2019-06-30
Business Address
LISSA KELLY BABER AGACNP
1340 BROAD AVE
GULFPORT, MS 39501-2404
Phone number: 228-867-5012
Mailing Address
LISSA KELLY BABER AGACNP
5 OAK ALLEY LN
LONG BEACH, MS 39560-8000
Phone number: 601-433-0575
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