LYDIA MICHELLE WALTERS

JACKSON, MS
NPI1396144135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MT  NUR-APRN-LIC-124631)
Enumeration Date2014-08-18
Last Update Date2023-08-10
Business Address
LYDIA MICHELLE WALTERS FNP-C
2500 N. STATE STREET
JACKSON, MS 39216-4505
Phone number: 601-984-1000
Mailing Address
LYDIA MICHELLE WALTERS FNP-C
2500 N. STATE STREET
JACKSON, MS 39216-4505
Phone number: 601-815-6960
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